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What is the definitive test for MND?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have recently noticed a lot of wrinkling of my skin on both my thenar muscles of the thumb. I just noticed it a month ago. I also have a dent or atrophy on the back of my right hand between the little and middle finger. I am not sure whether this is new as it seems to appear in a video of myself taken before three months. I am a 35 year old male. My grip strength seems good. I recently did a personal best hang test of 1 minute 20 seconds. Two years ago, my neurologist told me that I had cramp fasciculation syndrome as I had a lot of calf and feet twitchings. I am concerned now that I may have motor neuron disease (MND). Please help.
Answered by Dr. Ambekar Sudheer

Education:

MBBS

Professional Bio:

Dr. Ambekar Sudheer is a highly experienced Neurologist specializing in Neurosurgery with extensive clinical expertise. He is proficient in diagnosing and treating complex neurological conditions and performing advanced surgical interventions to enhance patient outcomes. His areas of expertise include brain and spine surgeries, minimally invasive neurosurgical procedures, and comprehensive care for neurological disorders, ensuring holistic treatment and rehabilitation for patients.

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Hi,

Welcome to icliniq.com. Motor neuron disease may be a possibility for the appearance of muscle atrophy in the photographs that you have sent (attachment removed to protect patient identity). However, the definitive test for motor neuron disease (MND) is ENMG, which stands for electroneuromyography. It can detect whether the nerve conduction and muscle excitation is normal or not. In MND, ENMG will show denervation potentials and the site of the lesion will be the anterior horn cell. You should ask your primary care physician to refer you to a neurologist for ENMG and physical evaluation.

Medically reviewed by iCliniq medical review team
Published At July 3, 2016
Reviewed At October 5, 2023

Education:

MBBS

Professional Bio:

Dr. Ambekar Sudheer is a highly experienced Neurologist specializing in Neurosurgery with extensive clinical expertise. He is proficient in diagnosing and treating complex neurological conditions and performing advanced surgical interventions to enhance patient outcomes. His areas of expertise include brain and spine surgeries, minimally invasive neurosurgical procedures, and comprehensive care for neurological disorders, ensuring holistic treatment and rehabilitation for patients.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Prep / Recovery Guide

Motor Neuron Disease Testing Prep and Recovery Guide

How it works

Motor Neuron Disease (MND) is a complex condition. Electroneuromyography (ENMG) is a key diagnostic test. Learn what it is, why it's used, and what to expect.

1

Understand
MND

2

ENMG
Purpose

3

Preparing
ENMG

4

Happens
ENMG

5

Understand
Results

6

Next
Steps

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

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Dr. Ambekar Sudheer
Dr. Ambekar Sudheer

Neurosurgery

Education:

MBBS

Professional Bio:

Dr. Ambekar Sudheer is a highly experienced Neurologist specializing in Neurosurgery with extensive clinical expertise. He is proficient in diagnosing and treating complex neurological conditions and performing advanced surgical interventions to enhance patient outcomes. His areas of expertise include brain and spine surgeries, minimally invasive neurosurgical procedures, and comprehensive care for neurological disorders, ensuring holistic treatment and rehabilitation for patients.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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