The normal response to repetitive motor nerve stimulation in dogs

Comparison of nerve conduction parameters in canine studies using recording needle and surface electrodes

Surface electrodes have been used in electromyography and nerve conduction studies in human and veterinary medicine, but comparisons have not been made between surface and needle electrode recordings in dogs. Our aim in this method comparison study was to determine whether surface electrodes captured larger compound motor action potentials (CMAP) than needle electrodes. Tibial nerve CMAP from 25 dogs with normal limb function was acquired using both surface and needle recording electrodes; the stimulus was elicited with monopolar concentric needles. Paired Wilcoxon signed rank test (if data was not normally distributed) or a paired two tailed t-test was used if data were normally distributed; significance was set at P<0.05. Mean CMAP amplitude (P=0.009), area (P=0.045) and latency (P=0.02) recorded with needle electrodes were larger compared with surface recording. CMAP duration was not significantly longer when recorded with surface electrodes (P=0.898). Needle electrode recordings are suitable for canine studies, although surface electrodes could also be considered. Low CMAP amplitudes recorded with surface electrodes should be verified with needle electrodes.

Motor nerve conduction and repetitive nerve stimulation in captive ring-tailed coati (Nasua nasua)

There are few electrophysiologic studies in wild animals. The aim of this study was to determine normal data for motor nerve conduction studies and repetitive stimulation in sciatic-tibial and ulnar nerves in clinically normal captive coati. Eight adult ring-tailed coatis (Nasua nasua), two females and six males weighing 6-8 kg, were used. Average nerve conduction velocity was 70.81 m/sec (standard deviation [SD] = 3.98) and 56.93 m/ sec (SD = 4.31) for the sciatic-tibial and ulnar nerves, respectively. Repetitive stimulation responses demonstrated minimal variations of the area of the compound muscle action potentials at low (3 Hz) and high (20 Hz) frequencies. The maximal obtained decremental area response was 8%. These normal data of conduction studies may be used in assessing abnormalities for clinical diagnosis. In addition, the obtained normal repetitive stimulation data were similar to dogs and humans and may be used for post- and presynaptic disturbances of the neuromuscular transmission in coatis.

Clinical and electrophysiological characterization of myokymia and neuromyotonia in Jack Russell Terriers

BACKGROUND

Generalized myokymia and neuromyotonia (M/NM) in Jack Russell Terriers (JRTs) is related to peripheral nerve hyperexcitability syndrome in humans, a symptom complex resulting from diverse etiologies.

OBJECTIVE

Clinical and electrodiagnostic evaluation is used to narrow the list of possible etiological diagnoses in JRTs with M/NM.

ANIMALS

Nine healthy JRTs and 8 affected JRTs.

METHODS

A prospective study was conducted comparing clinical and electrophysiological characteristics in 8 JRTs affected by M/NM with 9 healthy JRT controls.

RESULTS

All affected dogs except 1 had clinical signs typical of hereditary ataxia (HA). In 6 dogs, neuromyotonic discharges were recorded during electromyogram. Motor nerve conduction studies showed an axonal neuropathy in only 1 affected dog. Compared with controls, brainstem auditory-evoked potentials (BAEP) showed prolonged latencies (P<.05) accompanied by the disappearance of wave components in 3 dogs. Onset latencies of tibial sensory-evoked potentials (SEP) recorded at the lumbar intervertebral level were delayed in the affected group (P<.001). The BAEP and SEP results of the only neuromyotonic dog without ataxia were normal.

CONCLUSIONS AND CLINICAL IMPORTANCE

The BAEP and spinal SEP abnormalities observed in JRTs with M/NM were associated with the presence of HA. Therefore, these electrophysiological findings presumably arise from the neurodegenerative changes characterizing HA and do not directly elucidate the pathogenesis of M/NM. An underlying neuronal ion channel dysfunction is thought to be the cause of M/NM in JRTs.

Electrophysiology in neuromuscular disease

Electrophysiologic assessment of the peripheral nervous system is an integral part of the diagnostic workup for neuromuscular disease. This article is designed to provide insight into the importance and limitations of the various testing procedures now available in veterinary electrophysiology and to provide the reader with an understanding of the theory behind each of these procedures. The article also provides a guideline for the interpretation and clinical significance of each of the available tests.