Преимущества проведения электронейромиографии в «СМ-Клиника»
- Для проведения процедуры мы используем современное высокоточное оборудование. Это позволяет нам получить максимально достоверные результаты и при необходимости назначить оптимальный курс лечения.
- Врачи-неврологи, выполняющие исследование, прошли специальное обучение, а их высокий профессионализм гарантирует корректность проведения процедуры и верную интерпретацию результатов.
- Мы предлагаем доступные цены на электронейромиографию, чтобы обследование мог пройти каждый пациент.
Зачем нужно проходить электронейромиографию
Электронейромиография – один из наиболее информативных методов исследования позволяющий на ранней стадии выявить различные неврологические заболевания, затрагивающие нервы и мышцы.
Первичная электромиография проводится для получения информации необходимой для постановки и подтверждения диагноза. Проведение ЭНМГ дает возможность выяснить, на каком уровне рефлекторной цепи имеется патология и насколько она серьезна.
Во время проведения лечения выявленного заболевания ЭМГ может проводится несколько раз с определенным интервалом для оценки эффективности терапии.
Показания к проведению электронейромиографии
Решение о проведении ЭНМГ принимает врач-невролог, основываясь на существующем диагнозе, осмотре пациента, имеющихся жалобах. Сделать электронейромиографию необходимо в следующих случаях:
- при наличии жалоб на мышечные боли, спазмы, судороги или же слабость в ногах или руках, при тунельном синдроме (когда нерв зажат в костном канале сухожилиями мышц);
- при грыжах межпозвонковых дисков и корешковом синдроме;
- при поражениях мышц и нарушениях мышечного тонуса: мышечной дистрофии, миотонии, миопатии, миастении;
- при поражениях нервов: нейропатии лицевого нерва, полинейропатии, полимиозите, рассеянном склерозе, полиомиелите, болезни Паркинсона и других заболеваниях;
- после переломов верхних и нижних конечностей.
ЭНМГ не проводят пациентам, страдающим эпилепсией, психическими расстройствами, имеющим кардиостимулятор, а также в период обострения инфекционных или сердечно-сосудистых заболеваний.
Как подготовиться к проведению электронейромиографии
Как проводится электронейромиография
Перед началом процедуры наш врач обязательно расскажет вам обо всех этапах обследования и о ваших ощущениях. Электромиография проводится амбулаторно в положении лежа или полулежа, при этом важно максимально расслабиться. В зависимости от обследуемой зоны врач определяет места наложения электродов, обрабатывает их антисептическим раствором и смазывает гелем.
Электроды, подсоединенные к электромиографу, специалист фиксирует на коже в области обследуемой мышцы. Сигнал, поступающий к электроду, переходит на нерв и вызывает сокращение мышцы. В ходе процедуры врач может попросить напрячь ту или иную мышцу, сделать это несколько раз или с разным временным интервалом. Все показания и колебания потенциалов фиксируются аппаратом и записываются на бумагу или магнитный носитель. Графически результат электронейромиографии напоминает результаты ЭКГ – там присутствуют такие же скачущие зубцы и волны.
Во время процедуры вы можете ощущать легкое покалывание, которое пройдет после ее завершения.
В зависимости от объема исследования электронейромиография длится от 30 минут до 1 час.
Результаты обследования
Как записаться на электронейромиографию в «СМ-Клиника»
Цены на электронейромиография (ЭНМГ) в «СМ-Клиника»
Наименование услуги | Цена (руб.)* |
Электронейромиография лица: вызванный кожно-симпатический потенциал | 3 400 |
Электронейромиография лица: круговой мышцы глаза, круговой мышцы рта (лицевой нерв) | 3 400 |
Электронейромиография лица: блинк-рефлекс (тройничный нерв) | 3 950 |
Электронейромиография игольчатая (1 мышца) | 3 400 |
Электронейромиография: Н-рефлекс | 3 400 |
Электронейромиография: тетанизация | 4 500 |
Стимуляционная электронейромиография одной верхней конечности (1 чувствительный нерв) | 1 700 |
Стимуляционная электронейромиография одной верхней конечности (1 нерв) | 3 400 |
Стимуляционная электронейромиография одной верхней конечности (2 нерва) | 4 500 |
Стимуляционная электронейромиография одной верхней конечности (все нервы) | 6 750 |
Стимуляционная электронейромиография одной нижней конечности (1 двигательный нерв) | 2 850 |
Стимуляционная электронейромиография одной нижней конечности (все нервы) | 6 750 |
Дополнителое исследование к стимуляционной электронейромиографии одной верхней конечности при туннельном синдроме (самостоятельно не проводится) | 2 850 |
* Администрация клиники принимает все меры по своевременному обновлению размещенного на сайте прайс-листа, однако во избежание возможных недоразумений, советуем уточнять стоимость услуг в регистратуре или в контакт-центре по телефону +7 (495)
Размещенный прайс не является офертой. Медицинские услуги оказываются на основании договора.
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Электронейромиография (ЭНМГ) |
Электронейромиография (ЭНМГ) — аппаратная методика диагностики с помощью электронейромиографа, которая позволяет дать оценку состоянию мышц и нервных окончаний путем стимулирования периферических нервных окончаний электрическими импульсами с последующей фиксацией их ответной реакции. Электронейромиография позволяет оценить сократительную способность мышц под воздействием внешних раздражителей и выявить места повреждений нервных окончаний.
В каких случаях требуется. Электронейромиография назначается при слабости в мышцах, быстрой утомляемости, изменению порога чувствительности, непроизвольным сокращениям, подергиваниям и т.д. ЭНМГ также может помочь выявить причину болей в спинном отделе, сопровождающихся прострелами и не купирующиеся обезболивающими. В зависимости от симптомов назначается игольчатая либо стимуляционная электронейромиография. В отдельных случаях проводится комплексная электронейромиография.
Подготовка. Для проведения ЭНМГ необходимо исключить употребление пищи (в течение 5-6 часов) и применение медикаментов, которые могут повлиять на передачу нервных импульсов, а также миорелаксантов и антохолинергиков. Нарушение сворачиваемости крови и большая жировая прослойка также могут стать препятствием к проведению процедуры. Возможно, потребуется снизить вес, заменить препараты другими или предпринять другие меры.
Здесь представлены диагностические центры, в которых вы можете сделать ЭНМГ в Москве.
Цена. Средняя стоимость электронейромиографии в Москве: 2000 руб.
Вопросы и ответы:
Где пройти электронейромиографию?
На сайте DocDoc.ru собраны лучшие клиники Москвы, в которых проводят диагностическое исследование электронейромиография (энмг). Подберите себе центр для прохождения этой процедуры прямо у нас на сайте по важным для Вас критериям: расположение центра, цена, график работы.
Сколько стоит электронейромиография?
Цены на электронейромиографию зависят от многих факторов, в первую очередь, от качества оборудования и от расположения диагностического центра. На DocDoc.ru Вы найдете лучшие центры Москвы, которые сможете отсортировать по стоимости процедуры. В анкете каждого центра имеется информация о его графике работы, также указан номер телефона, по которому Вы можете сразу же записаться на исследование.
Все клиники Москвы:
Виды функциональной диагностики:
Полезные статьи о заболеваниях, современных методах лечения и диагностиках.
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Электромиография (ЭНМГ) – методика, которая позволяет исследовать состояние мышц и периферической нервной системы при помощи воздействия различных раздражителей на мышечные волокна и анализа нервно-мышечных реакций.
ЭНМГ назначается с целью выявления очагов поражения нервно-мышечной системы, оценки их характера и распространения при неврологических, эндокринологических, ревматических заболеваниях, после травм опорно-двигательного аппарата, операций, в период реабилитации. Благодаря электронейромиографии возможно диагностировать болезнь на начальной стадии, пока она себя еще никак не проявила.
В МЕДСИ исследование проводится на оборудовании экспертного класса Nicolet Viking Quest (США), обладающем широким спектром диагностических возможностей. Цифровая система позволяет с высокой точностью оценить состояние нейромышечного аппарата. ЭНМГ в МЕДСИ проводят квалифицированные специалисты с большим опытом работы. Исследование отличается высокой достоверностью и информативностью результатов.
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Цены и клиники
* Цена указана в рублях. Точную стоимость в Клиниках сети МЕДСИ можно узнать по телефону 8 495 7-800-500, или в регистратуре.
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Электронейромиография при болезни мотонейрона (будни)
Электронейромиография при болезни мотонейрона (выходные)
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Электронейромиография при радикулопатии (выходные)
Прозериновая проба с электронейромиографией (будни)
Прозериновая проба с электронейромиографией (выходные)
Электронейромиография при нейропатии лицевого нерва (будни)
Электронейромиография при нейропатии лицевого нерва (выходные)
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Что такое электронейромиография
Электронейромиография используется для проверки реакции мышечных волокон на раздражители и выявления нарушений в работе периферической нервной системы. Процедура ЭНМГ заключается в воздействии электрическими импульсами низкой интенсивности и фиксации компьютером ответной реакции. При помощи исследования оценивается скорость проведения биоэлектрических импульсов нервными волокнами, способность мышц реагировать на идущие от нервных окончаний сигналы и скорость этих реакций. ЭНМГ позволяет выявить расположение очагов неврального поражения и степень его тяжести. Метод применяется в неврологии, ортопедии, нейрохирургии, эндокринологии, ревматологии, травматологии, в восстановительной и спортивной медицине.
В зависимости от заболевания, его симптомов и других факторов врачом может быть назначено исследование как комплексное, так и различных зон: электронейромиография нижних конечностей, ЭНМГ верхних конечностей, ЭНМГ лицевой области и т. д.
Обычно электронейромиографию осуществляют не один раз: сначала – для постановки диагноза, затем – для контроля эффективности назначенного лечения.
Основные показания к проведению электронейромиографии
ЭНМГ рекомендуется провести в случае подозрения на некоторые патологии или при наличии у пациента определенных симптомов. Это:
- Мышечная слабость
- Судороги и боли в мышцах
- Нейропатии
- Миастения
- Миозит, миопатия и др.
- Вторичные нарушения двигательной функции в результате заболеваний
- Травмы – спинальные, периферических нервов и т. п.
- Мышечная атрофия
- Ревматоидный артрит
- Туннельный синдром и др.
Виды электронейромиографии
Существует несколько способов проведения электронейромиографии:
- Игольчатая ЭНМГ осуществляется с применением игольчатых электродов для исследования нервно-мышечных волокон, расположенных глубоко под кожей. Игольчатая ЭНМГ конечностей верхнего и нижнего отдела назначается для получения информации о работе отдельных мышц и их групп. Это инвазивный метод, во время его проведения пациент испытывает неприятные ощущения, которые проходят после окончания процедуры
- Стимуляционная ЭНМГ проводится путем стимуляции нервных волокон при помощи накожных электродов. Применяется для выявления локализации нарушения проведения нервных импульсов и определения его характера
- Декремент-тест используется для оценки передающей способности нервно-мышечного синапса (структуры, обеспечивающей передачу импульса между нервными и мышечными волокнами). Показания – ботулизм, миастения и миастеноподобные синдромы, синдром Ламберта-Итона
Подготовка к проведению электронейромиографии
Если вам назначена электронейромиография, сделать ее необходимо, специально подготовившись. Следует прекратить прием лекарств, оказывающих воздействие на нервно-мышечную систему (прозерин, калимин, нейромидин).
Продолжительность ЭНМГ – от 20 минут до 1,5 часа. Во время исследования пациент находится в положении сидя или лежа, в расслабленном состоянии. Места наложения электродов обеззараживаются спиртом и обрабатываются специальным гелем, улучшающим проводимость сигналов. Температура на поверхности кожи исследуемого должна быть в диапазоне от 26 до 32 градусов, для чего кожу либо согревают, либо охлаждают.
Преимущества электронейромиографии в МЕДСИ
В МЕДСИ электронейромиография проводится:
- На цифровом оборудовании экспертного класса производства компании Nicolet (США), одного из лидеров мировой медицинской индустрии
- Высококвалифицированными диагностами, постоянно проходящими стажировки в клиниках международного уровня
- Согласно международным протоколам
- С высокой степенью достоверности и информативности
Пациенты МЕДСИ отмечают баланс качества ЭНМГ и цены на услугу.
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