Pediatric Electrodiagnostic Studies: An Experienced Opinion

A BSTRACT Electrophysiologic studies play a critical role in the pediatric population, as in adults, in establishing clinical diagnoses and, in some cases, excluding certain conditions. However, several important distinctions exist between pediatric and adult patients. These include anatomic differences, ongoing maturation of the peripheral nerves, muscles, and neuromuscular junction, as well as limited cooperation between patients and physicians in younger children. Consequently, differences arise in equipment selection and patient management strategies. Furthermore, the indications for referral to the electromyography laboratory and the spectrum of neuromuscular disorders commonly observed in pediatric patients differ from those in adults. This review highlights the role and importance of electrophysiologic evaluations in the pediatric age group, with particular emphasis on conditions more frequently encountered in this population. In addition, the review presents our institutional experience and perspectives regarding pediatric-specific electrophysiologic approaches and their distinctions from adult practices.