medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2023-22-29-34medalphabet-3352Research ArticleСтатьиМетодология электромиографии параспинальных мышц на поясничном уровне. ЛекцияMethodology of electromyography of the lumbar paraspinal muscleshttps://orcid.org/0000-0001-9652-1457СеливерстоваЕ. Г.SeliverstovaE. G.

врач функциональной диагностики, невролог, м. н. с. отделения неотложной нейрохирургии

MD, neurophysiologist of the Clinical Neurophysiology Laboratory of the Emergency Neurosurgery Deparment N.V. Sklifosovsky Research Institute for Emergency Medicine

e.seliverstova.md@gmail.comhttps://orcid.org/0000-0001-5026-0060СинкинМ. В.SinkinM. V.

д. м. н., ведущий научный сотрудник отделения неотложной нейрохирургии, руководитель группы клинической нейрофизиологии; заведующий лабораторией инвазивных нейроинтерфейсов НИИ Технобиомед

head of the Clinical Neurophysiology Laboratory of the Emergency Neurosurgery Deparment; N.V. Sklifosovsky Research Institute for Emergency Medicine, head of Laboratory of invasive neurointerfaces of the research institute TechnoBioMed

https://orcid.org/0000-0001-5344-3970КордонскийА. Ю.KordonskyA. Y.

к. м. н., нейрохирург, старший научный сотрудник отделения неотложной нейрохирургии

PhD, neurosurgeon, senior researcher of the Emergency Neurosurgery Deparment; N. V. Sklifosovsky Research Institute for Emergency Medicine

https://orcid.org/0000-0003-3515-8329ГриньА. А.GrinA. A.

член-корреспондент РАН, д. м. н., заведующий научным отд. неотложной нейрохирургии;  профессор кафедры фундаментальной нейрохирургии

Head of scientific department of the emergency neurosurgery, N. V. Sklifosovsky Research Institute for Emergency Medicine, professor of department of fundamental neurosurgery of the Pirogov Russian National Research Medical University, Moscow. Corresponding Member of the Russian Academy of Sciences, doctor of medicine science

Государственное бюджетное учреждение здравоохранения города Москвы «Научно- исследовательский институт скорой помощи им. Н. В. Склифосовского Департамента здравоохранения города Москвы»РоссияN.V. Sklifosovsky Research Institute of Emergency CareRussian FederationГосударственное бюджетное учреждение здравоохранения города Москвы «Научно- исследовательский институт скорой помощи им. Н. В. Склифосовского Департамента здравоохранения города Москвы»; Федеральное государственное бюджетное образовательное учреждение высшего образования «Московский государственный медико- стоматологический университет имени А. И. Евдокимова» Министерства здравоохранения Российской ФедерацииРоссияN. V. Sklifosovsky Research Institute of Emergency Care; Federal State Budgetary Educational Institution of Higher Education “A. I. Yevdokimov Moscow State University of Medicine and Dentistry” of the Ministry of Healthcare of the Russian FederationRussian FederationГосударственное бюджетное учреждение здравоохранения города Москвы «Научно- исследовательский институт скорой помощи им. Н. В. Склифосовского Департамента здравоохранения города Москвы»РоссияN. V. Sklifosovsky Research Institute of Emergency CareRussian FederationГосударственное бюджетное учреждение здравоохранения города Москвы «Научно- исследовательский институт скорой помощи им. Н. В. Склифосовского Департамента здравоохранения города Москвы»; Федеральное государственное автономное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет имени Н. И. Пирогова» Министерства здравоохранения Российской ФедерацииРоссияN. V. Sklifosovsky Research Institute of Emergency Care; Pirogov Russian National Research Medical University (Pirogov Medical University)Russian Federation202308112023122Современная функциональная диагностика (3)2934Copyright © Селиверстова Е.Г., Синкин М.В., Кордонский А.Ю., Гринь А.А., 20232023Селиверстова Е.Г., Синкин М.В., Кордонский А.Ю., Гринь А.А.Seliverstova E.G., Sinkin M.V., Kordonsky A.Y., Grin A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/3352

Электромиографию (ЭМГ) параспинальных мышц (ПМ) на поясничном уровне проводят с целью дифференциальной диагностики пояснично-крестцовой радикулопатии и других проксимальных повреждений периферических нервов, таких как поражение пояснично-крестцового сплетения или седалищного нерва. В нейрохирургии проведение ЭМГ поясничных ПМ позволяет уточнить уровень компримированного спинномозгового корешка при полирадикулярном поражении, вызванном дегенеративной болезнью позвоночнка. В статье подробно описана методика проведения исследования, представлены факторы, ограничивающие применение ЭМГ ПМ в диагностике радикулопатии и определения анатомического уровня его компрессии.

Electromyography (EMG) of the lumbar paraspinal muscles (PM) is performed for differential diagnosis of lumbosacral radiculopathy and other proximal peripheral nerve injuries such as lumbosacral plexopathy or sciatic neuropathy. In neurosurgery, EMG of the lumbar PM can clarify the level of the compressed spinal nerve root in polyradiculopathy due to degenerative spinal deasese. In this article we describe in detail the technique of the study, present the factors limiting the use of EMG in the diagnosis of radiculopathy and determination of its anatomical level.

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The authors declare that there are no conflicts of interest present.