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 Nervejournal_title
Muscle & nerveauthors
Podnar Sdoi
10.1002/mus.10417subject
Has Abstractpub_date
2003-09-01 00:00:00pages
377-9issue
3eissn
0148-639Xissn
1097-4598journal_volume
28pub_type
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