The risk of iatrogenic pneumothorax after electromyography.

Abstract:

INTRODUCTION:Pneumothorax is a potentially serious complication of electromyography (EMG). Data on the frequency of pneumothorax after EMG are lacking. The purpose of this study was to determine the frequency, timing, and risk factors for iatrogenic pneumothorax after EMG. METHODS:Cases of pneumothorax after EMG were reviewed for clinical, electrophysiological, and radiological data. RESULTS:Of 64,490 EMG studies, 7 patients had an association between the EMG and pneumothorax. All patients were symptomatic and presented within 24 hours of EMG. Sampling of serratus anterior and diaphragm was causative in 1 patient each. In 5 patients, multiple high-risk muscles were sampled. The highest frequency of pneumothorax was observed with examination of serratus anterior (0.445%) and diaphragm (0.149%). CONCLUSIONS:The frequency of symptomatic iatrogenic pneumothorax after EMG appears to be low, and examinations of serratus anterior and diaphragm carry the highest risk. Electromyographers should be aware of the risk of pneumothorax and should counsel patients accordingly.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Kassardjian CD,O'gorman CM,Sorenson EJ

doi

10.1002/mus.24883

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

518-21

issue

4

eissn

0148-639X

issn

1097-4598

journal_volume

53

pub_type

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