Stimulated potential analysis using concentric needle electrodes (SPACE) in paediatric EMG
Event Details
Course introduction: It is important to have a method to diagnose neuromuscular junction abnormalities in children. The neuromuscular junction in children can be affected by autoimmune myasthenia gravis or congenital
Event Details
Course introduction:
It is important to have a method to diagnose neuromuscular junction abnormalities in children. The neuromuscular junction in children can be affected by autoimmune myasthenia gravis or congenital abnormalities of the neuromuscular junction. Both conditions are rare in children and often do not present with recognizable clinical stereotypes. Many are treatable once diagnosed. Repetitive nerve stimulation is a well recognized technique but is relatively insensitive. SFEMG offers high levels of sensitivity and is the preferred technique in children. Voluntary SFEMG is rarely possible to do consistently in children. Stimulated SFEMG can with practice be performed on any child from the neonate to the teenager. This presentation describes the use of a modification of StimSFEMG which uses concentric needle electrodes (SPACE).
Learning Objectives:
- Background to the development of the technique of SPACE
- How to perform SPACE successfully in children
- The test characteristics when applied to large numbers of children with suspected Myasthenia
Speakers for this event
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Dr. Matthew Pitt
Dr. Matthew Pitt
M.D.
Dr. Matthew Pitt retired from Great Ormond Street Hospital for Children in December 2019 after a nearly 30 year career dedicated to paediatric EMG. He was co-author to over 70 full peer reviewed papers, 12 Chapters, and innumerable conferences presentations. He wrote Paediatric EMG, the first book dedicated to the subject published by Oxford University Press in 2017. He was the founder of the biannual international congresses on Paediatric EMG begun in 1997 with the 13th meeting taking place at La Baule, France in November 2023. He has lectured all over the world and set up a Paediatric EMG service in Dhaka, Bangladesh. Dr. Pitt is a recognized world expert in the technique of SPACE, an adaptation of stimulated single fiber EMG used in the diagnosis of childhood myasthenic conditions. At the time of his retirement over 800 children were examined per year, either personally or under his personal supervision. He trained nearly all trainee consultants in the UK as well as visiting fellows from all over the world. He has a close relationship with the French speaking EMG societies often presenting at their congresses. He continues to do clinics both in Paediatrics and Adults and receives invitations to speak at International Clinical Neurophysiological societies.
M.D.
Time
(Thursday) 11:00 am - 12:00 pm EST
Location
ONLINE eSeminar
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