{"id":1487,"date":"2025-01-09T14:52:52","date_gmt":"2025-01-09T12:52:52","guid":{"rendered":"https:\/\/roneuro.ro\/blog\/?p=1487"},"modified":"2025-01-23T10:46:19","modified_gmt":"2025-01-23T08:46:19","slug":"cand-se-recomanda-un-control-enmg","status":"publish","type":"post","link":"https:\/\/roneuro.ro\/blog\/cand-se-recomanda-un-control-enmg\/","title":{"rendered":"C\u00e2nd se recomand\u0103 un control ENMG?"},"content":{"rendered":"\n<h2>C\u00e2nd se recomand\u0103 un control ENMG?<\/h2>\n<p>Electroneuromiografia (ENMG) este o procedur\u0103 medical\u0103 utilizat\u0103 pentru a diagnostica \u0219i evalua diverse afec\u021biuni neuromusculare, inclusiv scleroza lateral\u0103 amiotrofic\u0103, scleroza multipl\u0103, distrofii musculare, miopatii \u0219i boala Charcot-Marie-Tooth. Aceasta combin\u0103 electromiografia cu studiile de conducere nervoas\u0103 pentru a identifica disfunc\u021bii la nivelul nervilor sau mu\u0219chilor, oferind informa\u021bii esen\u021biale pentru un plan de tratament eficient. Simptome precum sl\u0103biciunea muscular\u0103, amor\u021beala sau reflexele anormale pot indica necesitatea unei evalu\u0103ri ENMG [1]. <a href=\"https:\/\/roneuro.ro\/blog\/electroneuromiografia\/\">Electroneuromiografia (ENMG)<\/a> \u00eembin\u0103 electromiografia cu studii de conducere nervoas\u0103 pentru a eviden\u021bia disfunc\u021bii ale nervilor sau musculaturii, precum \u0219i probleme cu transmiterea semnalului de la nervi la mu\u0219chi.<\/p>\n<h2>Ce boli pot fi identificate prin ENMG?<\/h2>\n<p>ENMG poate fi utilizat\u0103 pentru a diagnostica o gam\u0103 larg\u0103 de boli neuromusculare, precum miopatii, boli ale neuronilor motori din creier sau m\u0103duva spin\u0103rii, precum \u0219i leziuni nervoase sau afec\u021biuni neurodegenerative [2]. Cele mai r\u0103sp\u00eendite 5 afec\u021biuni neuromusculare sunt urm\u0103toarele [3]:<\/p>\n<h3>Scleroza lateral\u0103 amiotrofic\u0103<\/h3>\n<p>Boal\u0103 neurodegenerativ\u0103, av\u00e2nd drept consecin\u021be pierderea progresiv\u0103 a func\u021biei \u0219i troficit\u0103\u021bii musculare datorit\u0103 lez\u0103rii neuronilor motori din m\u0103duva spin\u0103rii [4,5].<\/p>\n<h3>Distrofiile musculare<\/h3>\n<p>Grup de boli care se manifest\u0103 prin sl\u0103biciune progresiv\u0103, pierderea masei musculare \u0219i o degradare a \u021besutului nervos [6].<\/p>\n<h3>Miopatiile<\/h3>\n<p>grup de boli inflamatorii a mu\u0219chilor scheletici care se manifest\u0103 prin durere \u0219i sl\u0103biciune muscular\u0103, oboseal\u0103 intens\u0103, crampe \u0219i spasme musculare [7,8].<\/p>\n<h3>Boala Charcot-Marie-Tooth<\/h3>\n<p>Tulburare neurologic\u0103 a sistemului nervos periferic, care transport\u0103 semnalele de la creier \u00een diferite p\u0103r\u021bi ale corpului [9].<\/p>\n<h3>Miastenia gravis<\/h3>\n<p>Boal\u0103 neuromuscular\u0103 cronic\u0103 care provoac\u0103 sl\u0103biciunea mu\u0219chilor voluntari) duce la dificultate la \u00eenghi\u021birea m\u00e2nc\u0103rii \u0219i dificultate de respira\u021bie [10]. ENMG poate fi util\u0103 \u00een evaluarea r\u0103spunsurilor musculare anormale specifice acesteia.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-1524\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/EMG-nou.jpg\" alt=\"\" width=\"600\" height=\"274\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/EMG-nou.jpg 1600w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/EMG-nou-300x137.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/EMG-nou-1024x468.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/EMG-nou-768x351.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/EMG-nou-1536x702.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/EMG-nou-750x343.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/EMG-nou-1140x521.jpg 1140w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/p>\n<h2>Alte tipuri afec\u021biuni care pot fi investigate prin ENMG<\/h2>\n<ul>\n<li><strong>Sindroamele tunelului carpian, cubital sau tarsian<\/strong> &#8211; cauzat de presiunea asupra nervului median, cubital sau tarsian;<\/li>\n<li><strong>Sindromul Guillain-Barre<\/strong> \u2013 boal\u0103 autoimun\u0103 cu debut rapid cauzat\u0103 de distrugerea sistemului nervos periferic de c\u0103tre sistemul imunitar [11,12];<\/li>\n<li><strong>Sindromul Lambert-Eaton<\/strong> &#8211; boal\u0103 autoimun\u0103 rar\u0103 caracterizat\u0103 prin sl\u0103biciunea membrelor;<\/li>\n<li><strong>Neuropatii <\/strong>\u2013 grup de boli caracterizate prin sl\u0103biciune muscular\u0103, amor\u021beli \u0219i dureri la nivelul membrelor [13];<\/li>\n<li><strong>Radiculopatii<\/strong> &#8211; reprezint\u0103 un grup de simptome asociate unei compresii a r\u0103d\u0103cinii nervoase spinale (\u00een special la nivel cervical \u0219i lombar) [14];<\/li>\n<li><strong>Polimiozit\u0103<\/strong> &#8211; tulburare inflamatorie rar\u0103 care duce la sl\u0103biciune muscular\u0103 progresiv\u0103;<\/li>\n<li><strong>Alte afec\u021biuni neuromusculare \u0219i\/sau degenerative.<\/strong><\/li>\n<\/ul>\n<p style=\"text-align: left;\">Pentru mai multe informa\u021bii despre ENMG, accesa\u021bi interviul video cu specialistul nostru dr. Maria Balea:<\/p>\n<p style=\"text-align: center;\"><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/-HleXKdJtcY?si=GD0Gkz8FQjXC7eL6\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2>Ce simptome necesit\u0103 un control ENMG?<\/h2>\n<p>Oricine \u00ee\u0219i poate observa \u0219i identifica simptomele neuromusculare pentru a lua \u00een considerare programarea la un <a href=\"https:\/\/roneuro.ro\/specialitati\/neurologie.html\">consult neurologic<\/a> prin ENMG de nervi periferici [15]. Exist\u0103 c\u00e2teva grupe principale de simptome care pot fi observate cu u\u0219urin\u021b\u0103:<\/p>\n<ul>\n<li>Sl\u0103biciune muscular\u0103 inexplicabil\u0103;<\/li>\n<li>Amor\u021beal\u0103, furnic\u0103turi sau modific\u0103ri senzoriale;<\/li>\n<li>Durere muscular\u0103 sau crampe;<\/li>\n<li>Reflexe anormale;<\/li>\n<li>Contrac\u021bii musculare, atrofie sau fascicula\u021bii (contrac\u021bii involuntare);<\/li>\n<li>Dificultate la \u00eenghi\u021bire sau respira\u021bie (simptome neuromusculare);<\/li>\n<li>Alte afec\u021biuni specifice.<\/li>\n<\/ul>\n<h3>Sl\u0103biciunea muscular\u0103<\/h3>\n<p>Astfel, sl\u0103biciunea muscular\u0103 de lung\u0103 durat\u0103 [16], care nu poate fi explicat\u0103 \u00een lipsa durerilor sau a efortului fizic, este un semnal de alarm\u0103 \u0219i necesit\u0103 investigare ENMG. Sl\u0103biciunea muscular\u0103 se poate manifesta sub urm\u0103toarele forme:<\/p>\n<ul>\n<li>Dificultatea de a ridica obiecte u\u0219oare;<\/li>\n<li>Dificultatea de a urca sc\u0103rile;<\/li>\n<li>Dificultatea de a prinde \u0219i str\u00e2nge \u00een m\u00e2n\u0103 obiecte mici, precum pahare, ce\u0219ti, vase rotunde, unele fructe, etc;<\/li>\n<li>Sl\u0103biciune muscular\u0103 ale membrelor (m\u00e2n\u0103, picior, sau ambele);<\/li>\n<li>Sl\u0103biciune observat\u0103 la anumite grupe musculare.<\/li>\n<\/ul>\n<h3>Amor\u021beal\u0103, furnic\u0103turi sau modific\u0103ri senzoriale<\/h3>\n<p>Senza\u021biile persistente de amor\u021beal\u0103, furnic\u0103turi [17] sau modific\u0103ri senzoriale, pot fi considerate simptome care sugereaz\u0103 prezen\u021ba unor compresii sau leziuni ale nervilor, precum amor\u021beal\u0103 la nivelul m\u00e2inii (\u00een special la nivelul degetului mare, ar\u0103t\u0103tor \u0219i mijlociu) \u00een cazul sindromului de tunel carpian.<\/p>\n<h3>Durere muscular\u0103 sau crampe<\/h3>\n<p>Alte simptome de durere sau furnic\u0103turi, radiind de-a lungul unei r\u0103d\u0103cini nervoase, pot fi asociate cu radiculopatiile, iar senza\u021biile de furnic\u0103turi sau amor\u021beli simetrice, deseori resim\u021bite la nivelul m\u00e2inilor sau a picioarelor pot fi asociate neuropatiei periferice. Astfel, un control ENMG poate pune \u00een eviden\u021b\u0103 urm\u0103toarele afec\u021biuni:<\/p>\n<ul>\n<li>Radiculopatie;<\/li>\n<li>Neuropatie periferic\u0103.<\/li>\n<\/ul>\n<p style=\"text-align: left;\">Pentru a \u00een\u021belege mai bine neuropatiile periferice, vizita\u021bi interviul video cu Dr. Roxana Andrea Toader, medic neurolog la Institutul Roneuro.<\/p>\n<p style=\"text-align: center;\"><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/C_-KBS_qU-U?si=rgeSLvhpqEzcLWDN\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>Dac\u0103 ave\u021bi dureri sau crampe musculare [18], pe l\u00e2ng\u0103 senza\u021bia de sl\u0103biciune \u0219i\/sau modific\u0103ri senzoriale, sau dureri la anumite grupe musculare (pe care nu vi le pute\u021bi explica), toate acestea pot sugera suspiciune de miopatie (boal\u0103 muscular\u0103).<\/p>\n<p>Dac\u0103 a\u021bi avut fracturi, luxa\u021bii, lovituri sau alte traume severe, acestea pot s\u0103 produc\u0103 urm\u0103toarele tipuri de simptome:<\/p>\n<ul>\n<li>Sl\u0103biciune sau amor\u021beal\u0103 persistent\u0103;<\/li>\n<li>Sl\u0103biciune muscular\u0103 de lung\u0103 durat\u0103;<\/li>\n<li>Afectare senzorial\u0103 neuromotorie;<\/li>\n<li>Modific\u0103ri ale reflexelor de-a lungul unei r\u0103d\u0103cini nervoase;<\/li>\n<li>Durere acut\u0103 la nivelul g\u00e2tului, spatelui sau extremit\u0103\u021bi.<\/li>\n<\/ul>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-1488\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/simptome-care-necesita-ENMG.jpg\" alt=\"\" width=\"550\" height=\"453\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/simptome-care-necesita-ENMG.jpg 1600w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/simptome-care-necesita-ENMG-300x247.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/simptome-care-necesita-ENMG-1024x844.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/simptome-care-necesita-ENMG-768x633.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/simptome-care-necesita-ENMG-1536x1266.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/simptome-care-necesita-ENMG-750x618.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/simptome-care-necesita-ENMG-1140x940.jpg 1140w\" sizes=\"(max-width: 550px) 100vw, 550px\" \/><\/p>\n<h3>Reflexe anormale<\/h3>\n<p>Reflexele musculare anormale [19] se pot manifesta prin nivel redus (hiporeflexie), sau nivel exagerat (hiperreflexie), dar care sunt asociate cu sl\u0103biciune sau alte simptome senzoriale.<\/p>\n<h3>Contrac\u021bii involuntare<\/h3>\n<p>Din punct de vedere func\u021bional, mu\u0219chii afecta\u021bi pot prezenta simptome de contrac\u021bii musculare involuntare (numite \u0219i fascicula\u021bii) sau atrofie muscular\u0103 f\u0103r\u0103 o cauz\u0103 clar\u0103 dar care pot fi asociate unor boli ale neuronilor motori precum scleroza lateral\u0103 amiotrofic\u0103 [20]. Deasemenea, ENMG este util\u0103 \u00een diagnosticarea unor sindroame de compresie muscular\u0103.<\/p>\n<h2>Resurse \u0219i suport pentru pacien\u021bi<\/h2>\n<p>Dac\u0103 ave\u021bi oricare din simptomele anterior amintite sau dac\u0103 v\u0103 \u00eengrijoreaz\u0103 starea dumneavoastr\u0103 general\u0103 de s\u0103n\u0103tate programa\u021bi-v\u0103 acum la un consult neurologic contact\u00e2nd recep\u021bia Institutului <strong>RoNeuro<\/strong> la num\u0103rul de telefon<strong> <a href=\"tel:+40374462222\">0374 46 2222<\/a><\/strong>, luni \u0219i mar\u021bi \u00eentre orele <strong>08:00 &#8211; 19:00<\/strong>, iar de miercuri p\u00e2n\u0103 vineri \u00eentre orele <strong>08:00 &#8211; 18:00. <\/strong><\/p>\n<p>La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate. Mai mult, pot fi efectuate program\u0103ri online.<\/p>\n<p style=\"text-align: center;\"><a style=\"background-color: #6852ed; color: white; text-decoration: none; border: none; padding: 10px 20px; cursor: pointer; display: inline-block;\" href=\"https:\/\/www.roneuro.ro\/progamari.html\">Program\u0103ri online aici!<\/a><\/p>\n<p>Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? RoNeuro ofer\u0103 \u0219i op\u021biunea de <strong><a href=\"https:\/\/www.roneuro.ro\/telemedicina.html\" target=\"_blank\" rel=\"noopener\">telemedicin\u0103<\/a>.<\/strong><\/p>\n<h2>Cum se desf\u0103\u0219oar\u0103 o testare ENMG de nervi periferici?<\/h2>\n<p>\u00cen timpul testului, unul sau mai mul\u021bi electrozi mici sunt introdu\u0219i prin piele \u00een mu\u0219chi. Activitatea electric\u0103 captat\u0103 de electrozi este apoi afi\u0219at\u0103 pe un osciloscop (aparat care afi\u0219eaz\u0103 activitatea electric\u0103 sub form\u0103 de unde). Se utilizeaz\u0103 un amplificator audio pentru ca undele s\u0103 poat\u0103 fi ascultate de medic [21].<\/p>\n<p>\u00cen cadrul unei examin\u0103ri ENMG se m\u0103soar\u0103 activitatea electric\u0103 a mu\u0219chiului \u00een timpul repausului, a unei contrac\u021bii u\u0219oare, respectiv a unei contrac\u021bii puternice. \u00cen mod normal, \u021besutul muscular nu produce semnale electrice \u00een timpul repausului. Mai precis, aceasta \u00eenseamn\u0103 c\u0103 atunci c\u00e2nd se vizualizeaz\u0103 activitatea electric\u0103 de la un electrod, pe osciloscop poate fi observat\u0103 o scurt\u0103 perioad\u0103 de activitate, dup\u0103 care nu ar trebui s\u0103 mai existe niciun semnal [22].<\/p>\n<p>Procedura se efectueaz\u0103 st\u00e2nd a\u0219eza\u021bi pe un pat.<\/p>\n<ul>\n<li>Medicul dumneavoastr\u0103 va cur\u0103\u021ba pielea din zona mu\u0219chiului care urmeaz\u0103 a fi testat.<\/li>\n<li>Se va introduce \u00een mu\u0219chi un ac mic prev\u0103zut cu un electrod. Acesta este conectat la un aparat utilizat pentru a \u00eenregistra activitatea electric\u0103 a mu\u0219chiului dumneavoastr\u0103 atunci c\u00e2nd \u00eel mi\u0219ca\u021bi sau \u00eel relaxa\u021bi.<\/li>\n<li>Neurologul va evalua dac\u0103 exist\u0103 activitate electric\u0103 spontan\u0103 atunci c\u00e2nd mu\u0219chiul este \u00een repaus, precum \u0219i gradul de activitate atunci c\u00e2nd \u00eel contracta\u021bi u\u0219or [23].<\/li>\n<\/ul>\n<p>Testul dureaz\u0103 \u00eentre 30 \u0219i 60 minute.<\/p>\n<blockquote><p><strong>Not\u0103 important\u0103: <\/strong>Face\u021bi un du\u0219 sau o baie \u00eenainte de consulta\u021bie dar evita\u021bi s\u0103 v\u0103 unge\u021bi cu crem\u0103, lo\u021biune sau parfum pe piele. Cremele \u0219i lo\u021biunile pot afecta precizia testului [23].<\/p><\/blockquote>\n<p>Dup\u0103 procedur\u0103, este posibil s\u0103 observa\u021bi c\u00e2teva v\u00e2n\u0103t\u0103i minore, temporare, \u00een locul unde a fost introdus electrodul \u00een mu\u0219chi. Neurologul va interpreta rezultatele examin\u0103rii dumneavoastr\u0103 \u0219i va \u00eentocmi un raport [1].<\/p>\n<div style=\"border: 1px solid #6852ed; padding: 10px;\">\n<p>Anun\u021ba\u021bi neurologul \u0219i restul personalului laboratorului ENMG dac\u0103:<\/p>\n<ul>\n<li>ave\u021bi un stimulator cardiac sau orice alt dispozitiv medical electric implantat;<\/li>\n<li>lua\u021bi medicamente pentru diluarea s\u00e2ngelui;<\/li>\n<li>ave\u021bi hemofilie (o tulburare de coagulare a s\u00e2ngelui care cauzeaz\u0103 s\u00e2nger\u0103ri prelungite).<\/li>\n<\/ul>\n<\/div>\n<h2>Concluzii<\/h2>\n<p>Examenul ENMG este minim invaziv dar el poate fi realizat numai \u00een urma consulta\u021biei neurologice, pentru a evalua preliminar starea dumneavoastr\u0103 de s\u0103n\u0103tate. Durerea, modificarea reflexelor, contrac\u021biile involuntare sau amor\u021beala sunt simptome ale diverselor afec\u021biuni neuromusculare ce necesit\u0103 o evaluare de tip ENMG. Dac\u0103 ave\u021bi \u0219i alte diagnostice ale unor afec\u021biuni neurologice, atunci acestea trebuie introduse \u00een planul de tratament, recuperare \u0219i reabilitare.<\/p>\n<p>Este important ca planul de recuperare \u0219i tratament s\u0103 \u00eenceap\u0103 c\u00e2t mai cur\u00e2nd posibil, deoarece promptitudinea interven\u021biei multidisciplinare, poate avea un impact semnificativ asupra rezultatelor pe termen lung pentru s\u0103n\u0103tatea dumneavoastr\u0103.<\/p>\n<h2>Referin\u021be<\/h2>\n<ol>\n<li>Cleveland Clinic, <a href=\"https:\/\/my.clevelandclinic.org\/health\/diagnostics\/4825-emg-electromyography\" target=\"_blank\" rel=\"noopener\">EMG (Electromyography)<\/a>.<\/li>\n<li>Brigham and Women&#8217;s Hospital, <a href=\"https:\/\/www.brighamandwomens.org\/neurology\/neuromuscular-diseases\/electromyography\" target=\"_blank\" rel=\"noopener\">What conditions are diagnosed by using electromyography?<\/a>.<\/li>\n<li>True North Neurology, Top 5 Neuromuscular Disorders &amp; Treatment Options. Available at: <a href=\"https:\/\/www.truenorthneurology.com\/blog\/top-5-neuromuscular-disorders--treatment-options-31697.html\" target=\"_blank\" rel=\"noopener\">https:\/\/www.truenorthneurology.com\/blog\/top-5-neuromuscular-disorders&#8211;treatment-options-31697.html<\/a><\/li>\n<li>Cedars-Sinai, Amyotrophic Lateral Sclerosis (ALS). Available at: <a href=\"https:\/\/www.cedars-sinai.edu\/Patients\/Health-Conditions\/Amyotrophic-Lateral-Sclerosis-Lou-Gehrigs-Disease.aspx\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cedars-sinai.edu\/Patients\/Health-Conditions\/Amyotrophic-Lateral-Sclerosis-Lou-Gehrigs-Disease.aspx<\/a><\/li>\n<li>Mayo Foundation for Medical Education and Research, Multiple sclerosis \u2013 Symptoms and causes. Available at: <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/multiple-sclerosis\/symptoms-causes\/syc-20350269\" target=\"_blank\" rel=\"noopener\">https:\/\/www.mayoclinic.org\/diseases-conditions\/multiple-sclerosis\/symptoms-causes\/syc-20350269<\/a><\/li>\n<li>Cedars-Sinai, Muscular Dystrophy. Available at: <a href=\"https:\/\/www.cedars-sinai.org\/health-library\/diseases-and-conditions\/m\/muscular-dystrophy.html\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cedars-sinai.org\/health-library\/diseases-and-conditions\/m\/muscular-dystrophy.html<\/a>?<\/li>\n<li>The Neuromuscular Disease Foundation, What Are The Most Common Neuromuscular Diseases?. Available at: <a href=\"https:\/\/curegnem.org\/2022\/03\/what-are-the-most-common-neuromuscular-diseases\/\" target=\"_blank\" rel=\"noopener\">https:\/\/curegnem.org\/2022\/03\/what-are-the-most-common-neuromuscular-diseases\/<\/a><\/li>\n<li>SANADOR, Miopatia. Available at: <a href=\"https:\/\/www.sanador.ro\/miopatie\" target=\"_blank\" rel=\"noopener\">https:\/\/www.sanador.ro\/miopatie<\/a><\/li>\n<li>Mayo Foundation for Medical Education and Research, Charcot-Marie-Tooth disease. Available at: <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/charcot-marie-tooth-disease\/symptoms-causes\/syc-20350517\" target=\"_blank\" rel=\"noopener\">https:\/\/www.mayoclinic.org\/diseases-conditions\/charcot-marie-tooth-disease\/symptoms-causes\/syc-20350517<\/a><\/li>\n<li>National Institutes of Health, What is myasthenia gravis?. Available at: <a href=\"https:\/\/www.ninds.nih.gov\/health-information\/disorders\/myasthenia-gravis#toc-what-is-myasthenia-gravis-\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ninds.nih.gov\/health-information\/disorders\/myasthenia-gravis#toc-what-is-myasthenia-gravis-<\/a><\/li>\n<li>Dr. Stefan Mindea, Spondiloza cervical\u0103 \u2013 simptome \u0219i tratament eficient. 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Available at: <a href=\"https:\/\/www.medicalnewstoday.com\/articles\/326062\" target=\"_blank\" rel=\"noopener\">https:\/\/www.medicalnewstoday.com\/articles\/326062<\/a><\/li>\n<li>MedPark Hospital, Muscle Pain. Available at: <a href=\"https:\/\/www.medparkhospital.com\/en-US\/disease-and-treatment\/muscle-pain\" target=\"_blank\" rel=\"noopener\">https:\/\/www.medparkhospital.com\/en-US\/disease-and-treatment\/muscle-pain<\/a><\/li>\n<li>Peter Pressman, Strange Reflexes and What They Say About Your Health. Available at: <a href=\"https:\/\/www.verywellhealth.com\/strange-reflexes-3980705\" target=\"_blank\" rel=\"noopener\">https:\/\/www.verywellhealth.com\/strange-reflexes-3980705<\/a><\/li>\n<li>National Institutes of Health, Amyotrophic Lateral Sclerosis (ALS). Available at: <a href=\"https:\/\/www.ninds.nih.gov\/health-information\/disorders\/amyotrophic-lateral-sclerosis-als\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ninds.nih.gov\/health-information\/disorders\/amyotrophic-lateral-sclerosis-als<\/a><\/li>\n<li>The Johns Hopkins University, Electromyography (EMG). Available at: <a href=\"https:\/\/www.hopkinsmedicine.org\/health\/treatment-tests-and-therapies\/electromyography-emg\" target=\"_blank\" rel=\"noopener\">https:\/\/www.hopkinsmedicine.org\/health\/treatment-tests-and-therapies\/electromyography-emg<\/a><\/li>\n<li>Cedars-Sinai, Electromyography. Available at: <a href=\"https:\/\/www.cedars-sinai.org\/health-library\/tests-and-procedures\/e\/electromyography-.html\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cedars-sinai.org\/health-library\/tests-and-procedures\/e\/electromyography-.html<\/a><\/li>\n<li>Mayo Foundation for Medical Education and Research, Electromyography (EMG). Available at: <a href=\"https:\/\/www.mayoclinic.org\/tests-procedures\/emg\/about\/pac-20393913\" target=\"_blank\" rel=\"noopener\">https:\/\/www.mayoclinic.org\/tests-procedures\/emg\/about\/pac-20393913<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e2nd se recomand\u0103 un control ENMG? Electroneuromiografia (ENMG) este o procedur\u0103 medical\u0103 utilizat\u0103 pentru a diagnostica \u0219i evalua diverse afec\u021biuni neuromusculare, inclusiv scleroza lateral\u0103 amiotrofic\u0103, scleroza multipl\u0103, distrofii musculare, miopatii \u0219i boala Charcot-Marie-Tooth. Aceasta combin\u0103 electromiografia cu studiile de conducere nervoas\u0103 pentru a identifica disfunc\u021bii la nivelul nervilor sau mu\u0219chilor, oferind informa\u021bii esen\u021biale pentru un [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1493,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"source_name":"","source_url":"","via_name":"","via_url":"","override_template":"0","override":[{"template":"6","single_blog_custom":"","parallax":"1","fullscreen":"1","layout":"no-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"floatbottom","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"0","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"1","post_reading_time_wpm":"300","show_zoom_button":"1","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"0","show_popup_post":"1","number_popup_post":"3","show_author_box":"0","show_post_related":"1","show_inline_post_related":"0"}],"override_image_size":"0","image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post":"0","trending_post_position":"meta","trending_post_label":"Trending","sponsored_post":"0","sponsored_post_label":"Sponsored by","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo_enable":"0","sponsored_post_logo":"","sponsored_post_desc":"","disable_ad":"0"},"jnews_primary_category":{"id":"","hide":""},"jnews_override_counter":[],"footnotes":""},"categories":[6],"tags":[],"class_list":["post-1487","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologie"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1487","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=1487"}],"version-history":[{"count":7,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1487\/revisions"}],"predecessor-version":[{"id":1526,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1487\/revisions\/1526"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/1493"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=1487"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=1487"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=1487"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}