Volume 63, Issue 5 pp. 657-660
ISSUES & OPINIONS

Atypical fibrillation and fasciculation potentials: An exercise in waveform identification and analysis

Paul E. Barkhaus MD

Corresponding Author

Paul E. Barkhaus MD

Medical College of Wisconsin, Milwaukee, Wisconsin, USA

Correspondence

Paul E. Barkhaus, Department of Neurology, 8701 Watertown Plank Rd, Milwaukee, WI 53226, USA.

Email: [email protected]

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Sanjeev D. Nandedkar PhD

Sanjeev D. Nandedkar PhD

Medical College of Wisconsin, Milwaukee, Wisconsin, USA

Natus Medical Inc, Hopewell Junction, New York, USA

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First published: 09 February 2021
Citations: 1

Abstract

No consensus criteria exist for recording and analyzing waveforms in clinical electromyography (EMG). There have been significant technical improvements in recent decades that are under-used in both routine practice and research. In current practice, disciplined techniques in acquisition and analysis of signals are required to appropriately define them. As an example, we describe such an exercise in acquisition and analysis. During a routine study, atypical spontaneous activity was encountered. High-quality digital recordings were stored for off-line analysis. These revealed waveforms that could be isolated and quantitatively defined using basic instrumentation available on most modern EMG systems: “slow” firing fibrillation potentials and a repeating fasciculation potential. Subjective analysis alone could not have identified them. To improve accuracy in identification and understanding of these waveforms, we propose criteria for data collection and signal analysis. This is critical for quality in routine practice, education, and proper reporting of electrophysiological signals.

CONFLICT OF INTEREST

The second author is an employee of Natus Medical Inc. Neither author has a conflict of interest to disclose.

DATA AVAILABILITY STATEMENT

Data available on request from authors

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.

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