Electromyographic evaluation of horses with laryngeal hemiplegia

Thirty-eight horses suspected of having laryngeal hemiplegia had electromyograms (EMGs) performed on the dorsal cricoarytenoid muscle (DCAM). Electromyographic abnormalities consisted of fibrillation potentials, positive sharp waves, bizarre high frequency discharges, and reduced insertional activity. Normal motor activity consisted of motor unit activity during inspiration, or less frequently motor unit activity during inspiration with subsequent tonic motor activity. In affected muscles, motor unit activity was often absent but when present there was activity consisting of motor units which did not correspond to a particular phase of respiration or it was consistent with normal motor unit activity.     

Myokymia and neuromyotonia in a cat

A 6-year-old spayed female domestic shorthair cat was examined because of a 2-week history of rhythmic muscle movements. Physical examination revealed thoracic limb rigidity, contracture of the carpi, generalized muscle atrophy, and rhythmic rippling of the muscles of all 4 limbs. Results of a CBC and serum biochemistry profile were unremarkable other than high creatine kinase activity. Electromyography revealed unique high-frequency discharges, including rhythmic bursts of single motor unit potentials appearing as doublets (myokymia) and more prolonged bursts of nonrhythmic motor unit potentials with characteristic waning amplitudes (neuromyotonia). Histologic examination of muscle biopsy specimens revealed noninflammatory necrotizing myopathy with regeneration. The cat did not respond to treatment with carbamazepine or prednisone but improved rapidly after treatment with phenytoin was initiated. Six months after initial examination, electromyography revealed a substantial decrease in the amount of spontaneous activity in previously affected muscles. However, the myokymic and neuromyotonic discharges were still present, albeit with a substantial decrease in frequency.     

Myokymia and neuromyotonia in 37 Jack Russell terriers

The clinical and clinicopathological characteristics, treatment and outcome of vermicular muscle contractions (myokymia) and generalized muscle stiffness (neuromyotonia) in 37 Jack Russell terriers were evaluated retrospectively. Thirty dogs were affected by both disorders, whereas seven were presented with myokymia and never developed neuromyotonia. Clinical signs started at the mean age of 8 months. Except for signs of myokymia and neuromyotonia, clinical and neurological examination was normal in all dogs. Thirty dogs demonstrated typical signs of hereditary ataxia.Changes in serum chemistry included increased creatine kinase, aspartate aminotransferase and alanine aminotransferase concentrations. Electromyographic abnormalities, especially in muscles showing macroscopically visible myokymia, consisted of semirhythmic bursts of doublet, triplet, or multiplet discharges of a single motor unit. The amplitudes varied between 80 μV and 1 mV and occurred with an interburst frequency between 10 and 40 Hz and an intraburst frequency between 150 and 280 Hz.Most dogs were treated with a sodium channel blocker with variable results. Seven dogs died (most likely because of hyperthermia) or were euthanased during a neuromyotonic attack; 15 dogs were euthanased due to worsening of clinical signs, or lack of or no long-lasting effect of medication, and three were euthanased for unknown or unrelated reasons. Nine dogs were lost to follow-up and three were still alive 5–10.5 years after the start of clinical signs. In conclusion, young Jack Russell terriers with myokymia and neuromyotonia should undergo a complete blood and electrophysiological examination. Long-term prognosis is not favourable.     

Use of electromyography for the diagnosis of equine hyperkalemic periodic paresis.

The use of electromyography (EMG) as a diagnostic aid for equine hyperkalemic periodic paresis (EHPP) was investigated in seven affected and seven control horses. Affected horses were confirmed positive for EHPP either by elevated serum potassium concentration with clinical signs of myotonia, or by inducing hyperkalemia and clinical signs using oral potassium chloride challenge. All horses were asymptomatic at the time EMG was performed, using bipolar fine wire needle electrodes. The myopotentials were recorded on magnetic tape and displayed on paper charts for analysis. Insertional and resting activity were recorded from the right supraspinatus, triceps, extensor carpi radialis and gluteal muscles in standing horses. Myotonic discharges were seen in six of seven affected horses but not in any of the controls. All seven affected horses and two control horses had prolonged insertional activity. Five out of seven affected horses and one control horse displayed spontaneous motor unit discharges unrelated to recording electrode movement. Myoelectrical potentials containing closely timed muscle potentials, i.e. doublets, were found in all affected horses, with four of seven affected horses also showing triplets. These potentials were not observed in any of the controls. No obvious difference in activity was observed among the four muscle sites tested. It is concluded that EMG is a safe and useful tool for diagnosing EHPP in horses not currently displaying clinical signs. Myotonic discharges and doublets appear to be the most diagnostically significant electromyographic abnormalities in EHPP affected horses.     

Clinical electroretinography in the dog. Part 3]

In this last part the preparation of the patient for the ERG is shown. Anesthesia, positioning, and retrobulbar injection technique are discussed. The protocol for recording the ERG is presented. The dog is dark adapted for 30 minutes. The level of adaptation is examined using a single flash of dim red light at various times. Rods and cones are stimulated separately by scotopically balanced red and blue flashes. After a single flash of bright white light the rods and cones are studied with flicker trains at 5, 12.5, 15 and 30 Hz. During dark adaptation the maximum b-wave amplitude increased from 13.8 +/- 8.4 microV to 49.3 +/- 16.3 microV. Bright white light stimuli resulted in b-wave amplitudes of 167.7 +/- 75.3 microV. There were always 6 oscillatory potentials visible on the b-wave. Scotopically balanced stimuli produced b-waves of 104 microV (red) and 116 microV (blue). It was found that older dogs had reduced b-wave amplitudes and longer peak times than younger dogs. The most common artefacts in electroretinography are discussed.     

Electromyographic evaluation of adult Labrador retrievers with type-II muscle fiber deficiency

Labrador Retrievers with type-II muscle fiber deficiency were examined electrodiagnostically. Electromyographic changes consisted of positive sharp waves, fibrillation potentials, bizarre high-frequency discharges, and, rarely, myotonic-like discharges. Fasciculation potentials were recorded infrequently. Fibrillation potentials and bizarre high-frequency discharges were the most commonly observed electromyographic changes. Bizarre high-frequency discharges were prominent in muscles of the head and neck, proximal muscles of the thoracic limbs, and the thoracolumbar paraspinal musculature. Marked abnormalities were not observed in the motor nerve conduction velocity. Decremental responses of the evoked compound muscle action potential to repetitive nerve stimulation were not observed.     

Juvenile-Onset Distal Myopathy in Rottweiler Dogs

Two juvenile Rottweiler siblings were presented with the complaint of decreased activity and various postural abnormalities, including plantigrade and palmigrade stance and splayed forepaw digits. The neurologic examinations were otherwise normal. Electromyography revealed rare fibrillation potentials and positive sharp waves. Motor nerve conduction velocities were normal, whereas compound muscle action potentials from the interosseous muscles were decreased. These findings were consistent with a primary myopathy. A 3rd pup from a different litter and a 4th pup from a litter with 3 of 8 affected dogs had similar clinical presentations. Histopathologic changes in fresh-frozen muscle biopsy samples were similar in all pups and consisted of myofiber atrophy with mild myonecrosis, endomysial fibrosis, and replacement of muscle with fatty tissue. These changes were more severe in distal muscles than in proximal muscles. Plasma carnitine concentrations (total and free) were decreased in all pups. Muscle carnitine concentrations (total and free) were decreased in 3 of 4 pups and the least affected pup had a borderline low free muscle carnitine concentration. Abnormalities involving major metabolic pathways were not found on quantification of organic and amino acids. Dystrophin immunocytochemistry was normal in 2 dogs tested. Distal myopathies in humans are classified under the dystrophic group of muscle disorders. These 4 cases represent a form of muscular dystrophy apparently not previously reported in dogs.     

Stimulated single fibre electromyography in normal dogs

A technique for the evaluation of neuromuscular transmission using single fibre electromyography was developed for the peroneus longus muscle of dogs. Individual muscle fibre action potentials were recorded in 10 dogs, with a specialised needle electrode, during repetitive axon-al stimulation at the motor point of the right peroneus longus muscle. Variability in latency from stimulus artefact to action potential was evaluated for 50 to 100 consecutive discharges for several fibres in the muscle of each dog. Latency variability (jitter) was expressed as the mean of consecutive differences (MCD) in latency for each muscle fibre. A mean of MCDS was calculated for the muscle of each animal. The upper limits of normal for the peroneus longus suggested by this study are 30 us (for individual muscle fibres) and 19 μs (for mean of group of fibres).     

Distal denervating disease: a degenerative neuropathy of the distal motor axon in dogs

A group of ten dogs affected by an apparently identical denervating disease, is described. There was no breed or age predisposition but females were preferentially affected (70%). The rate of onset of signs was variable from a week to greater than 1 month. Quadriparesis was present to varying severities and in two dogs the head and neck could not be supported. Mastication, swallowing, respiration and bladder function were unimpaired. Pain sensation was normal, tone was usually decreased and the local limb reflexes depressed or absent. Muscle atrophy was often prominent. All cases bar one recovered but another dog was also destroyed. Electrophysiology revealed diffuse spontaneous activity in the muscles and the motor nerve conduction velocities were at the lower end of or just below the normal range. The evoked muscle potentials were reduced in amplitude. Sensory nerve potentials were normal. The pathology showed a degeneration of the distal intramuscular axons with collateral axonal sprouting. The muscle changes were typical of neurogenic atrophy. The disease has been called distal denervating disease (DDD) until the precise aetiology can be determined.     

Evaluation of jitter by stimulated single-fiber electromyography in normal dogs

Single-fiber electromyography (SFEMG), a technique used to investigate neuromuscular transmission, has been described previously in the pelvic limb of dogs. Because preferential involvement of isolated muscle groups can occur in disorders of neuromuscular transmission, SFEMG was done in the peroneus longus (PL), extensor carpi radialis (ECR), and orbicularis oculi (OO) muscles of 10 adult, clinically normal dogs. Jitter was calculated as the mean absolute value of the consecutive differences in latency of 50 single muscle fiber action potentials after stimulation of intramuscular nerve bundles at the level of the motor point in at least 20 muscle fibers per muscle. Bilateral recordings were performed in 3 dogs. Mean jitter values were determined for each muscle, and differences among muscle groups and among dogs were compared. The upper limits of mean consecutive difference (mean plus 3 standard deviations) for the PL, ECR, and OO muscles were 21.94, 22.53, and 23.39 micros, respectively, and the upper limit of mean consecutive difference for individual muscle fibers in the respective fiber pools was 28.62, 36.39, and 35.68 micros. Jitter values for the ECR and OO were significantly higher than the jitter value for the PL muscle (P < .05). Significant differences among muscles or dogs or between sides were not observed for the ECR. Significant differences among dogs were observed for OO jitter values and were attributed to extremely low jitter values in 1 dog. Significant differences were demonstrated between sides for the PL and were attributed to small sample size. Results of this study provide normative data that can be used in the application of the stimulated SFEMG technique to dogs with suspected disorders of neuromuscular transmission.     

Changes in oscillatory potentials in the canine electroretinogram during dark adaptation

Oscillatory potentials (OP) and electroretinograms (ERG) were recorded from clinically normal dogs after 5, 10, 15, 20, 30, 40, 50, and 60 minutes of dark adaptation. At the end of the adaptation period, OP were characterized by 5 distinct positive peaks, O1 through O5, with mean latencies of 14.46, 20.24, 27.38, 35.31, and 44.85 ms, respectively, and with mean amplitudes ranging from 7.20 to 34.84 microV. After 60 minutes of dark adaptation, the ERG had a mean a-wave latency of 12.03 ms and a mean b-wave amplitude of 109.29 microV. Peaks O3 and O4, which partially mask the summit of the b-wave, had mean latencies of 28.66 and 36.83 ms, respectively. The mean amplitude of the b-wave measured to the peak of O3 was 240.06 microV and 230.73 microV when measured to peak O4. Changes in the OP during dark adaptation consisted of significant (P less than 0.05) increases in the latencies of O1, O2, and O3, and significant increases in the amplitudes of O1, O3, O4, and O5. Concurrent ERG changes consisted of significant increases in the amplitudes of the a-wave and b-wave measured from O3 and O4, and significant increases in the latencies of peaks O3 and O4 on the b-wave.     

Quantitative motor unit action potential analysis of skeletal muscles in the Warmblood horse

Motor unit action potential (MUP) analysis in human medicine is a valuable and important diagnostic technique enabling discrimination between myogenic and neurogenic problems. This study establishes normative data in subclavian, triceps and lateral vastus muscles for clinical application of MUP analysis in the Warmblood horse, and examines whether muscle differences are present. Electromyographic (EMG) needle examination and MUP analysis were performed of the triceps, lateral vastus and subclavian muscles in 7 awake, nonsedated, Warmblood horses age 4-10 years. The amplitude, duration, number of phases and turns were calculated from the recorded superimposed MUPs together with intramuscular and rectal temperatures. No significant differences were found in duration of insertional activity between the 3 muscles. The mean +/- s.d. duration of the insertional activity was 526 +/- 1483 ms. The MUP amplitude of all 3 muscles differed significantly, with the highest amplitude (427 +/- 3.20 microV) in the triceps and the lowest (220 +/- 2.08 microV) in the subclavian muscle. The number of turns of the lateral vastus (3.0 +/- 1.22) was significantly higher than that of the triceps muscle (2.7 +/- 1.51). No differences were found in MUP duration (5.9-6.4 ms).     

Electrodiagnostic evaluation in feline hypertrophic muscular dystrophy

Standard needle electromyography (EMG) of 56 muscles and nerve conduction velocities (NCV) of the ulnar and common peroneal nerves were investigated in each of six cats affected with hypertrophic feline muscular dystrophy, 10 related heterozygote carriers and 10 normal cats. The EMG findings were considered normal in carrier and control cats, and consisted of 33% normal readings, 22% myotonic discharges, 18% fibrillation potentials, 11% prolonged insertional potentials, 10% complex repetitive discharges and 6% positive sharp waves in affected cats. Muscles of the proximal limbs were most frequently affected. No differences in NCV were found between the three cat groups. It was concluded that dystrophin-deficient dystrophic cats have widespread and frequent EMG changes, predominantly myotonic discharges and fibrillation potentials, which are most pronounced in the proximal appendicular muscles.     

A novel movement disorder in related male Labrador Retrievers characterized by extreme generalized muscular stiffness

Objectives: To describe the clinical phenotype of a new motor disorder in Labrador Retrievers. Animals and Methods: Case series study. Seven young male Labrador Retrievers presented for evaluation of stiff gait. Results: All affected dogs had generalized muscular stiffness, persistent at rest and resulting in restricted joint movements. They showed a forward flexed posture, festinating gait, and bradykinesia. Signs developed between 2 and 16 months of age and tended to stabilize in adulthood. Needle electromyogram in the conscious state showed continuous motor unit activity in resting epaxial and proximal limb muscles. This activity was abolished by general anesthesia. Muscle and nerve histopathology was normal. In 2 dogs necropsied, astrocytosis was evident throughout the spinal cord gray matter, reticular formation and caudate nuclei. Decreased neuronal counts were selectively found in the spinal cord Rexed's lamina VII, but not in VIII and IX. Pedigree analysis showed that the affected dogs were from 5 related litters. Conclusions and Clinical Importance: This new hypertonicity syndrome in Labrador Retrievers is unique because of the selective distribution of the histological lesions, the lack of progression in adulthood, and its exclusive occurrence in male dogs. Pedigree analysis suggests an X‐linked hereditary disease, although other modes of inheritance cannot be ruled out with certainty. We hypothesize that altered output from basal nuclei and reticular formation together with motor neuron disinhibition caused by a decreased number of spinal cord interneurons leads to the muscular stiffness.     

Motor Fibers in the Canine Distal Caudal Cutaneous Sural Nerve—Dual Innervation of the Hind Limb Plantar Muscles

The function of the communicating branch of the distal caudal cutaneous sural (DCCS) nerve to the tibial nerve was investigated in 7 adult dogs and was found to contain the motor component of this nerve. This function was studied by direct visualization of the contraction of the hind limb plantar muscles and by direct electrophysiologic recording of motor unit action potentials in these muscles, following stimulation of the DCCS nerve. Contraction of all of the mm. interossei, the mm. lumbricales, the m. adductor digiti quinti and the m. adductor digiti secundi was observed with the stimulation of either the tibial or the DCCS nerves, although there was a qualitative variability in the plantar muscles exhibiting the strongest contraction with stimulation of the latter nerve. This communicating branch was not found in one of the experimental dogs, suggesting some individual variability in the DCCS nerve anatomy and subsequent function. This study conclusively demonstrated that the canine DCCS nerve contains both motor and sensory nerve fibers, which is similar to this nerve in the rat, but anatomically and functionally different to that in the human and the cat.     

Motor unit irritability in Beagles Before and after exposure to cholinesterase inhibitors.

Electromyographic (EMG) examinations were performed on Beagles before and for 7 days after oral administration of one of the following organophosphate (OP) compounds; ronnel (55.0 or 110.0 mg/kg), dichlorvos (29.7, 59.4, or 148.5 mg/kg), or cythioate (24.8 or 33.0 mg/kg). The EMG values determined were evoked potentials, after-discharge activity, F-wave activity, nerve conduction velocity, and motor unit potential activity associated with interosseous and pectineal reflexes. Erythrocyte cholinesterase (ChE) activities were measured in some dogs. Ronnel did not have an effect on ChE activity, whereas dichlorvos and cythioate, at all dosage levels, had an inhibitory effect. Some dogs had minor signs of OP toxicosis. The EMG changes for individual OP compounds were not statistically significant (P greater than 0.05), but pooled results revealed an increased duration of evoked potentials, increased after-discharge activity, and decreased F-wave activity; however, only the effect on duration was significant (P less than 0.05). Reflex motor unit potential activity and nerve conduction velocities were not affected. Effects of neostigmine (0.1 to 0.4 mg/kg) given IV to anesthetized, atropinized Beagles were similar to those effects shown by pooled data for the OP compounds, but considerably more muscle fasciculation was produced. Results of this study indicate that even when erythrocyte ChE activity is reduced by OP compounds at dosage levels that produce no or minimal visible signs of toxicosis, EMG reveals little evidence for increased motor unit irritability.     

A new method for recording H-reflexes from the plantar muscles of dogs

H-reflexes were recorded consistently from the plantar muscles of pentobarbitone-anaesthetised dogs following supramaximal stimulation of the caudal cutaneous sural nerve (CCSN). As the amplitude, shape and latency of successive H-reflex potentials fluctuated from trial to trial, 16 consecutive sweeps were averaged to quantify the response. The averaged H-reflex had an amplitude of 1–6 ± 0–9 mV (mean ± SD] and a latency of 20 ± 2 ms. The CCSN-evoked H-reflex was recorded together with the CCSN-evoked compound muscle action potential (SurCMAP), which had a shorter latency (6 ± 1 ms) but comparable size (1–9 ± 1–3 mV). H-reflex afferents in the CCSN had overlapping but slightly higher electrical thresholds than plantar motoneurone axons. A ‘pure’ H-reflex could be obtained by injecting local anaesthetic below the site of nerve stimulation. Halothane/nitrous oxide anaesthesia substantially reduced the amplitude of H-reflex potentials in a reversible fashion.     

Familial canine dermatomyositis: clinical, electrodiagnostic, and genetic studies

Three Collies with a skin disorder, 6 progeny from a breeding of 2 of the Collies (incross litter), and the 4 progeny from the breeding of an affected Collie male and a normal Labrador Retriever female (outcross litter) were examined. By 7 to 11 weeks of age, all 6 dogs in the incross litter developed a qualitatively similar, but variably severe, dermatitis of the ears, face, lips, tip of the tail, and over bony prominences of limbs. Later, myopathic signs characterized by bilaterally symmetrical skeletal muscle atrophy of the head, neck, trunk, and extremities; facial palsy; decreased jaw tone; stiff gait; and hyperreflexia were observed in the dogs more severely affected by the dermatitis. Of the 4 dogs in the outcross litter, 3 had similar, but milder, clinical manifestations of the dermatitis and myopathy. Cutaneous lesions consisted of intraepidermal and subepidermal vesicles or pustules with intradermal infiltration by leukocytes. Muscle lesions included myositis; myofiber degeneration, regeneration, and atrophy; and fibrosis. A generalized myopathy in the severely affected dogs was indicated by abnormal readings on needle electromyograms and normal motor nerve conduction velocities. Spontaneous needle electromyogram abnormalities were fibrillation potentials, positive sharp waves, and bizarre high-frequency discharges. Retrospective and prospective genetic analyses disclosed a definite familial tendency and indicated the condition has an autosomal dominant component.     

Factors Responsible for Smaller Pelvic Muscle Mass in Dysplastic Dogs

Pectineus muscles of 23 German shephard dogs were studied. 10 dogs had normal hips, 13 dogs had hip dysplasia. The relative weight of each pectineus muscle was determined, when the dogs were 24 months old. Cryostat sections were stained for demonstration of ATPase, thereby differentiating muscle fibres into type I (slow twitch), type II (fast twitch) and intermediate fibres. The results (Tables 1–3) shows, that the relative pectineus muscle weight was smaller in dysplastic dogs and there were significantly fewer type I muscle fibres in the pectineus muscles of dysplastic dogs.     

Myopathy associated with hyperadrenocorticism in the dog

Naturally occurring or iatrogenic hyperadrenocorticism was associated with myopathy in six dogs. One dog had muscle weakness and muscle atrophy but normal electromyographic findings. Five dogs had muscle stiffness, proximal appendicular muscle enlargement, and myotonic discharges on electromyography. Histologic, electron microscopic, and histochemical findings in the musculature of dogs that were examined were characteristic of noninflammatory degenerative myopathy. Clinical signs of the myopathy improved to varying degrees in five dogs that were treated for the hyperadrenocorticism.