title: How electrodiagnosis predicts clinical outcome of focal peripheral nerve lesions.
abstract: This article reviews the electrodiagnostic (EDX) prognostic factors for focal traumatic and nontraumatic peripheral nerve injuries. Referring physicians and patients often benefit from general and nerve-specific prognostic information from the EDX consultant. Knowing the probable outcome from a nerve injury allows the referring physician to choose the best treatment options for his/her patients. Nerve injuries are variable in their mechanism, location, and pathophysiology. The general effects of the injuries on nerve and muscle are well known, but more research is needed for nerve-specific information. Several factors currently known to influence prognosis include: nature of the nerve trauma, amount of axon loss, recruitment in muscles supplied by the nerve, the extent of demyelination, and the distance to reinnervate functional muscles. This article reviews these general concepts and also nerve-specific EDX measures that predict outcome after focal neuropathies.
authors.affiliation: Division of Physical Medicine and Rehabilitation, University of Toronto, Sunnybrook Health Sciences Centre, H391, 2075 Bayview Avenue, Toronto, Ontario, M4N 3M5.
authors.forename: Lawrence R
authors.initials: LR
authors.lastname: Robinson
mesh_terms: D000200:Action Potentials / Q000502:physiology; D003711:Demyelinating Diseases / Q000175:diagnosis* / Q000503:physiopathology; D004568:Electrodiagnosis; D006801:Humans; D009431:Neural Conduction / Q000502:physiology; D059348:Peripheral Nerve Injuries / Q000175:diagnosis* / Q000503:physiopathology; D010525:Peripheral Nerves / Q000503:physiopathology*; D010523:Peripheral Nervous System Diseases / Q000175:diagnosis / Q000503:physiopathology; D011379:Prognosis
keywords: electrodiagnosis; focal neuropathy; outcome; prognosis; traumatic neuropathy