Electromyography of the anal sphincter: which muscle to examine?

Abstract:

:Electromyographic examination of the deeper external anal sphincter (EAS) muscle is far more uncomfortable than of the subcutaneous muscle, so we tested the need for its examination. We compared the findings in 85 paired examinations of ipsilateral subcutaneous and deeper EAS muscles in 67 patients with a cauda equina lesion. When the other muscle was normal, the deeper or subcutaneous muscle was pathological in 18% or 13% of pairs, respectively. In addition, the subcutaneous EAS muscle was usually more severely affected than the deeper EAS muscle. Thus, examination of the deeper EAS muscle did not increase the sensitivity of MUP analysis significantly, and did not seem clinically necessary.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Podnar S

doi

10.1002/mus.10417

subject

Has Abstract

pub_date

2003-09-01 00:00:00

pages

377-9

issue

3

eissn

0148-639X

issn

1097-4598

journal_volume

28

pub_type

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