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Neuromuscular Ultrasound: A Practical Guide and its Clinical Applications in the Evaluation of Neuromuscular Disorders

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Rachana K. Gandhi Mehta

Rachana K. Gandhi Mehta

Atrium Health-Wake Forest Baptist

Dr. Gandhi Mehta is an Assistant Professor in the department of Neurology at Wake Forest University School of Medicine. She received her MBBS degree from Pramukh Swami Medical College, Sardar Patel University, India. She then completed her residency in Neurology at Cleveland Clinic and Neuromuscular fellowship at Duke University Medical Center, USA. The goal of her research is to find sonographic biomarkers for early detection of amyloidosis and improve therapeutics for patients with myasthenia gravis.

Collection Overview

Neuromuscular ultrasound is a quick, painless, radiation-free, and cost-effective imaging modality that complements clinical and electrodiagnostic findings in evaluating neuromuscular disorders. It provides a real-time morphological view of nerves, muscles, and surrounding structures, allowing for the measurement of nerve and muscle size, echogenicity, vascularity, nerve fascicular transformations, abnormal muscle movement, and specific patterns of muscle involvement. These measurements greatly aid in the evaluation of neuromuscular disorders.

Additionally, neuromuscular ultrasound is crucial in identifying structural causes and precise localization of nerve lesions. This localization enables healthcare professionals to plan surgical interventions more accurately and evaluate the response to therapy. Furthermore, neuromuscular ultrasound can visualize anatomical landmarks, making it valuable in diagnostic and therapeutic interventions, including injections, lumbar punctures, and biopsies in neurology.

The current JoVE collection compiles clinically relevant fundamental ultrasound techniques for assessing nerve and muscle pathologies. It also includes interventional techniques to guide procedures, utilizing high-resolution neuromuscular ultrasound that can be seamlessly integrated into neuromuscular medicine practice.

Articles

High-frequency Ultrasonography of the Digital and Palmar Nerve Branches of the Hand in Peripheral Nerve Diseases

High-frequency Ultrasonography of the Digital and Palmar Nerve Branches of the Hand in Peripheral Nerve Diseases

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2022

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