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Erschienen in: Neurological Sciences 12/2020

17.08.2020 | Review Article

A waves in electroneurography: differential diagnosis with other late responses

verfasst von: Liborio Rampello, Luigi Rampello, Antonio Arcidiacono, Francesco Patti

Erschienen in: Neurological Sciences | Ausgabe 12/2020

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Abstract

Neurographic studies are an extension of clinical examination and are performed for the functional assessment of peripheral nerves. The study of motor and sensory conduction velocity and the presence, amplitude, morphology and symmetry of the response to electrical stimulation are crucial for the diagnosis and management of peripheral neuromuscular disorders. Neurography also plays an important role in the search for so-called late responses comprising the F wave, H reflex, axonal response and A wave. By analysing the parameters of each late wave, this paper addresses the pathophysiological features and the most common conditions impairing the physiology of late responses, with a special focus on A waves.
Literatur
2.
Zurück zum Zitat Trontelj JV (1973) A study of the F response by single fiber electromyography. In: Desmedt JE (ed) New developments in electromyography and clinical neurophysiology. Karger, Basel, pp 318–322 Trontelj JV (1973) A study of the F response by single fiber electromyography. In: Desmedt JE (ed) New developments in electromyography and clinical neurophysiology. Karger, Basel, pp 318–322
3.
Zurück zum Zitat Eisen A, Fisher M (1999) Recommendations for the practice of clinical neurophysiology: guidelines of the International Federation of Clinical Physiology (EEG Suppl. 52) Deuschl G, Eisen A (eds) A International Federation of Clinical Neurophysiology 6.3: 255–7 Eisen A, Fisher M (1999) Recommendations for the practice of clinical neurophysiology: guidelines of the International Federation of Clinical Physiology (EEG Suppl. 52) Deuschl G, Eisen A (eds) A International Federation of Clinical Neurophysiology 6.3: 255–7
4.
Zurück zum Zitat Magladery JW, McDougal DB, Stoll J (1950) Electrophysiological studies of nerve and reflex activity in normal man. II the effects of peripheral ischemia. Bull Johns Hopkins Hosp 86:291–312PubMed Magladery JW, McDougal DB, Stoll J (1950) Electrophysiological studies of nerve and reflex activity in normal man. II the effects of peripheral ischemia. Bull Johns Hopkins Hosp 86:291–312PubMed
5.
Zurück zum Zitat Yates SK, Brown WF (1979) Characteristics of the F response: a single motor unit study. J Neurol Neurosurg Psychiatry 42:161–170CrossRef Yates SK, Brown WF (1979) Characteristics of the F response: a single motor unit study. J Neurol Neurosurg Psychiatry 42:161–170CrossRef
6.
Zurück zum Zitat Fisher MA (2002) H reflexes and F waves. Fundamentals, normal and abnormal patterns. Neurol Clin N Am 20:339–360CrossRef Fisher MA (2002) H reflexes and F waves. Fundamentals, normal and abnormal patterns. Neurol Clin N Am 20:339–360CrossRef
7.
Zurück zum Zitat Panayiotopoulos CP (1979) F chronodispersion: a new electrophysiologic method. Muscle Nerve 2:68–72CrossRef Panayiotopoulos CP (1979) F chronodispersion: a new electrophysiologic method. Muscle Nerve 2:68–72CrossRef
8.
Zurück zum Zitat Fisher MA (1982) F response latency determination. Muscle Nerve 5:730–734CrossRef Fisher MA (1982) F response latency determination. Muscle Nerve 5:730–734CrossRef
9.
Zurück zum Zitat Peioglou-Harmoussi S, Fawcett PRW, Howell D, Barwick DB (1985) F-responses: a study of frequency, shape and amplitude characteristics in healthy control subjects. J Neurol Neurosurg Psychiatry 48:1159–1164CrossRef Peioglou-Harmoussi S, Fawcett PRW, Howell D, Barwick DB (1985) F-responses: a study of frequency, shape and amplitude characteristics in healthy control subjects. J Neurol Neurosurg Psychiatry 48:1159–1164CrossRef
10.
Zurück zum Zitat Zappia M, Valentino P, Marchello LP, Paciccia M, Montagna P (1993) F-wave normative studies in different nerves of healthy subjects. Electroencephalogr Clin Neurophysiol 89:67–72CrossRef Zappia M, Valentino P, Marchello LP, Paciccia M, Montagna P (1993) F-wave normative studies in different nerves of healthy subjects. Electroencephalogr Clin Neurophysiol 89:67–72CrossRef
11.
Zurück zum Zitat Panayiotopoulos CP, Chroni E (1996) F-waves in clinical neurophysiology: a review, methodological issues and overall value in peripheral neuropathies. Electroencephalogr Clin Neurophysiol 101:365–374CrossRef Panayiotopoulos CP, Chroni E (1996) F-waves in clinical neurophysiology: a review, methodological issues and overall value in peripheral neuropathies. Electroencephalogr Clin Neurophysiol 101:365–374CrossRef
12.
Zurück zum Zitat Feasby TE, Brown WF (1974) Variation of motor unit size in the human extensor digitorum brevis and thenar muscles. J Neurol Neurosurg Psychiatry 37:916–926CrossRef Feasby TE, Brown WF (1974) Variation of motor unit size in the human extensor digitorum brevis and thenar muscles. J Neurol Neurosurg Psychiatry 37:916–926CrossRef
13.
Zurück zum Zitat Puksa L, Stålberg E, Falck B (2003) Reference values of F wave parameters in healthy subjects. Clin Neurophysiol 114(6):1079–1090CrossRef Puksa L, Stålberg E, Falck B (2003) Reference values of F wave parameters in healthy subjects. Clin Neurophysiol 114(6):1079–1090CrossRef
14.
Zurück zum Zitat Olney RK, Aminoff MJ (1990) Electrodiagnostic features of the Guillain-Barré syndrome: the relative sensitivity of different techniques. Neurology 40:471–475CrossRef Olney RK, Aminoff MJ (1990) Electrodiagnostic features of the Guillain-Barré syndrome: the relative sensitivity of different techniques. Neurology 40:471–475CrossRef
15.
Zurück zum Zitat Fox JE, Hitchcock ER (1987) F wave size as a monitor of motor neuron excitability: the effect of deafferentation. J Neurol Neurosurg Psychiatry 50:453–459CrossRef Fox JE, Hitchcock ER (1987) F wave size as a monitor of motor neuron excitability: the effect of deafferentation. J Neurol Neurosurg Psychiatry 50:453–459CrossRef
16.
Zurück zum Zitat D’Amour ML, Shahani BT, Young RR, Bird KT (1979) The importance of studying sural nerve conduction and late responses in the evaluation of alcoholic subjects. Neurology 29:1600–1604CrossRef D’Amour ML, Shahani BT, Young RR, Bird KT (1979) The importance of studying sural nerve conduction and late responses in the evaluation of alcoholic subjects. Neurology 29:1600–1604CrossRef
17.
Zurück zum Zitat Kiers L, Clouston P, Zuniga G, Cros D (1994) Quantitative studies of F responses in Guillain-Barré syndrome and chronic inflammatory demyelinating polyneuropathy. Electroencephalogr Clin Neurophysiol 93:255–264CrossRef Kiers L, Clouston P, Zuniga G, Cros D (1994) Quantitative studies of F responses in Guillain-Barré syndrome and chronic inflammatory demyelinating polyneuropathy. Electroencephalogr Clin Neurophysiol 93:255–264CrossRef
18.
Zurück zum Zitat Lachman T, Shahani BT, Young RR (1980) Late responses as aids to diagnosis in peripheral neuropathy. J Neurol Neurosurg Psychiatry 43:156–162CrossRef Lachman T, Shahani BT, Young RR (1980) Late responses as aids to diagnosis in peripheral neuropathy. J Neurol Neurosurg Psychiatry 43:156–162CrossRef
19.
Zurück zum Zitat Toyokura M, Murakami K (1997) F-wave study in patients with lumbosacral radiculopathies. Electromyogr Clin Neurophysiol 37:19–26PubMed Toyokura M, Murakami K (1997) F-wave study in patients with lumbosacral radiculopathies. Electromyogr Clin Neurophysiol 37:19–26PubMed
20.
Zurück zum Zitat Jusić A, Baraba R, Bogunović (1995) A H-reflex and F-wave potentials in leg and arm muscles. Electromyogr Clin Neurophysiol 35:471–478PubMed Jusić A, Baraba R, Bogunović (1995) A H-reflex and F-wave potentials in leg and arm muscles. Electromyogr Clin Neurophysiol 35:471–478PubMed
21.
Zurück zum Zitat Ackil AA, Shahani BT, Young RR, Rubin NE (1981) Late response and sural conduction studies. Usefulness in patients with chronic renal failure. Arch Neurol 38:482–485CrossRef Ackil AA, Shahani BT, Young RR, Rubin NE (1981) Late response and sural conduction studies. Usefulness in patients with chronic renal failure. Arch Neurol 38:482–485CrossRef
22.
Zurück zum Zitat Kimura J, Butzer JF (1975) F-wave conduction velocity in Guillain-Barré syndrome. Assessment of nerve segment between axilla and spinal cord. Arch Neurol 32:524–529CrossRef Kimura J, Butzer JF (1975) F-wave conduction velocity in Guillain-Barré syndrome. Assessment of nerve segment between axilla and spinal cord. Arch Neurol 32:524–529CrossRef
23.
Zurück zum Zitat Fraser JL, Olney RK (1991) The relative diagnostic sensitivity of different F wave parameters in various neuropathies. Muscle Nerve 14:912–913 Fraser JL, Olney RK (1991) The relative diagnostic sensitivity of different F wave parameters in various neuropathies. Muscle Nerve 14:912–913
24.
Zurück zum Zitat Peioglou-Harmoussi S, Fawcett PRW, Howel D, Barwick DD (1987) F-response frequency in motor neuron disease and cervical spondylosis. J Neurol Neurosurg Psychiatry 50:593–559CrossRef Peioglou-Harmoussi S, Fawcett PRW, Howel D, Barwick DD (1987) F-response frequency in motor neuron disease and cervical spondylosis. J Neurol Neurosurg Psychiatry 50:593–559CrossRef
25.
Zurück zum Zitat Petajan JH (1985) F-waves in neurogenic atrophy. Muscle Nerve 18:690–696CrossRef Petajan JH (1985) F-waves in neurogenic atrophy. Muscle Nerve 18:690–696CrossRef
26.
Zurück zum Zitat Argyropoulos CJ, Panayiotopoulos CP, Scarpalezos SF (1978) M-wave conduction in amyotrophic lateral sclerosis. Muscle Nerve 1:479–485CrossRef Argyropoulos CJ, Panayiotopoulos CP, Scarpalezos SF (1978) M-wave conduction in amyotrophic lateral sclerosis. Muscle Nerve 1:479–485CrossRef
27.
Zurück zum Zitat Chroni E (1994) F chronodispersion and F tacheodispersion: a study of conduction properties of motor nerve fibers in normal and pathological conditions. PhD Thesis. University of London, Chroni E (1994) F chronodispersion and F tacheodispersion: a study of conduction properties of motor nerve fibers in normal and pathological conditions. PhD Thesis. University of London,
28.
Zurück zum Zitat Rivner MH (1998) The contemporary role of F-wave studies. F wave studies: limitations. Muscle Nerve 21:1001–1104 Rivner MH (1998) The contemporary role of F-wave studies. F wave studies: limitations. Muscle Nerve 21:1001–1104
29.
Zurück zum Zitat Wilbourn AJ, Aminoff MJ (1998) The electrodiagnostic examination in patients with radiculopathies. Muscle Nerve 21:1621–1631CrossRef Wilbourn AJ, Aminoff MJ (1998) The electrodiagnostic examination in patients with radiculopathies. Muscle Nerve 21:1621–1631CrossRef
30.
Zurück zum Zitat Tang LM, Schwartz MS, Swash M (1980) Postural effects on F wave parameters in lumbosacral root compression and canal stenosis. Brain 111:207–213CrossRef Tang LM, Schwartz MS, Swash M (1980) Postural effects on F wave parameters in lumbosacral root compression and canal stenosis. Brain 111:207–213CrossRef
31.
Zurück zum Zitat Fisher MA (1986) F response latencies and durations in upper motor syndromes. Electromyogr Clin Neurophysiol 26:327–332PubMed Fisher MA (1986) F response latencies and durations in upper motor syndromes. Electromyogr Clin Neurophysiol 26:327–332PubMed
32.
Zurück zum Zitat Schiller HH, Stalberg E (1978) F responses studied with single fibre EMG in normal subjects and spastic patients. J Neurol Neurosurg Psychiatry 41:45–53CrossRef Schiller HH, Stalberg E (1978) F responses studied with single fibre EMG in normal subjects and spastic patients. J Neurol Neurosurg Psychiatry 41:45–53CrossRef
45.
Zurück zum Zitat Hoffman P (1918) Über die Beziehungen der Schnenreflexe zur willkurlichen Bewegun und zum Tonus. Z Biol 68:351–370 Hoffman P (1918) Über die Beziehungen der Schnenreflexe zur willkurlichen Bewegun und zum Tonus. Z Biol 68:351–370
46.
Zurück zum Zitat Hoffman P (1922) Untersuchungen uber die Eigenreflexe [Schnenreflexe] menschilicher Muskeln. Springer, BerlinCrossRef Hoffman P (1922) Untersuchungen uber die Eigenreflexe [Schnenreflexe] menschilicher Muskeln. Springer, BerlinCrossRef
47.
Zurück zum Zitat Hilgevoord AA, Rour LJ, Koehlman JH, Ongerboer de Visser BW (1995) Soleus H reflex inhibition in controls and spastic patients: ordered occlusion or diffuse inhibition. Electroencephalogr Clin Neurophysiol 97:402–407CrossRef Hilgevoord AA, Rour LJ, Koehlman JH, Ongerboer de Visser BW (1995) Soleus H reflex inhibition in controls and spastic patients: ordered occlusion or diffuse inhibition. Electroencephalogr Clin Neurophysiol 97:402–407CrossRef
50.
Zurück zum Zitat Fullerton PM, Gilleat RW (1965) Axon reflexes in human motor nerve fibers. J Neurol Neurosurg Psychiatry 28:1–11CrossRef Fullerton PM, Gilleat RW (1965) Axon reflexes in human motor nerve fibers. J Neurol Neurosurg Psychiatry 28:1–11CrossRef
51.
Zurück zum Zitat Roth G (1993) Myo-axonal ephaptic responses and their F-wave in cases of chronic denervation. Electroencephalogr Clin Neurophysiol 89:252–260CrossRef Roth G (1993) Myo-axonal ephaptic responses and their F-wave in cases of chronic denervation. Electroencephalogr Clin Neurophysiol 89:252–260CrossRef
52.
Zurück zum Zitat Global Burden of Metabolic Risk Factors for Chronic Diseases Collaboration (2014) Cardiovascular disease, chronic kidney disease, and diabetes mortality burden of cardiometabolic risk factors from 1980 to 2010: a comparative risk assessment. Lancet Diabetes Endocrinol 2:634–647CrossRef Global Burden of Metabolic Risk Factors for Chronic Diseases Collaboration (2014) Cardiovascular disease, chronic kidney disease, and diabetes mortality burden of cardiometabolic risk factors from 1980 to 2010: a comparative risk assessment. Lancet Diabetes Endocrinol 2:634–647CrossRef
53.
Zurück zum Zitat Bischoff C, Stålberg E, Falck B, Puksa L (1996) Significance of A-waves recorded in routine motor nerve conduction studies. Electroencephalogr Clin Neurophysiol 101:528–533PubMed Bischoff C, Stålberg E, Falck B, Puksa L (1996) Significance of A-waves recorded in routine motor nerve conduction studies. Electroencephalogr Clin Neurophysiol 101:528–533PubMed
54.
Zurück zum Zitat Howe JF, Calvin WH, Loeser JD (1976) Impulses reflected from dorsal root ganglia and from focal nerve injuries. Brain Res 116:139–144CrossRef Howe JF, Calvin WH, Loeser JD (1976) Impulses reflected from dorsal root ganglia and from focal nerve injuries. Brain Res 116:139–144CrossRef
55.
Zurück zum Zitat Magistratis MR, Roth G (1992) Motor axon reflex and indirect double discharge: ephaptic transmission. A reappraisal. Electroeceph Clin Neurophysiol 85:124–130CrossRef Magistratis MR, Roth G (1992) Motor axon reflex and indirect double discharge: ephaptic transmission. A reappraisal. Electroeceph Clin Neurophysiol 85:124–130CrossRef
56.
Metadaten
Titel
A waves in electroneurography: differential diagnosis with other late responses
verfasst von
Liborio Rampello
Luigi Rampello
Antonio Arcidiacono
Francesco Patti
Publikationsdatum
17.08.2020
Verlag
Springer International Publishing
Erschienen in
Neurological Sciences / Ausgabe 12/2020
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-020-04649-2

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