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  anal sphincter emg may also be useful in the evaluation of patients with multisystem atrophy (msa). 11, 12 patients with msa have degenerative changes in interomediolateral cell columns and onufs nucleus in the spinal cord, innervating both urethral and anal sphincters. Abnormal emg of the eas is strongly suggestive of an atypical parkinsonian syndrome such as msa. New developments in electromyography and clinical neurophysiology, karger, basel.   anal sphincter electromyography may be clinically useful in the evaluation of patients with urinary, bowel, and sexual dysfunction. It should be considered for all patients with a history and clinical examination suggestive of a central or peripheral sacral neuropathic lesion. New developments in electromyography and clinical neurophysiology, karger, basel. The electromyogram (emg) is a diagnostic tool that measures and records the electrical activity produced by skeletal muscles. The anal sphincter and urethral external sphincter are skeletal muscle in nature. There are two kinds of emg in widespread use in the field of urodynamic investigation surface (patch) and intramuscular (fine-wire) emg. External anal-sphincter electromyography (eas-emg) and urethral-sphincter electromyography (us-emg) may have diagnostic value for msa-c. One of the pathological features of msa is degeneration of onufs nucleus, resulting from the loss of motor neurons in onufs nucleus , , ,. The objective of this study was to investigate the value of external anal-sphincter electromyography (eas-emg) and urethral-sphincter electromyography (us-emg) in differentiating msa from pd. Methods a total of 201 patients, 101 msa and 100 pd were recruited in this study.   this study demonstrates the ability to acquire triggered electromyography (t-emg) from the external urethral sphincter (eus) muscles by utilizing a urethral catheter with an electrode attached. External sphincter electromyography definition external sphincter electromyography helps physicians determine how well the external urinary sphincter muscle is working by measuring the electrical activity in it during contraction and relaxation. Purpose the external sphincter muscle is the ring-like muscle that controls urine release from the. The externalanal sphincter and the external urethral sphincter. A normal mup usually has a 50500 microvamplitude, a 38 msec duration, and 24 phases. In order to assess reinnervation, usually 1020 single mups are recorded, which are automatically provided by an emg computer.

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