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Electrodiagnosis of Myotonic Disorders

    https://depts.washington.edu/neurolog/images/emg-resources/Myotonic_Disorders.pdf
    (Fig. 1A).9 When played over the audio, myotonic discharges have a characteristic sound of a dive bomber, or in the modern day, an accelerating and decelerating motorcycle engine. Electrical myotonia must be distinguished from neuromyotonia (frequency of greater than 150 Hz with a pinging sound) and chronic repetitive

Differential diagnosis of myotonic disorders

    https://www.aanem.org/mxonline/resources/downloads/products/mm27.pdf
    audio profile often compared to a dive-bomber.1,2,15 These potentials are repetitive discharges with a rate of 20–80 Hz and are of two types: (1) biphasic spike ... out evidence of classic myotonic discharges. As ex-pected, all of the 16 patients with myotonic dystro-phy (DM1) in their study had classic myotonic discharges.

EMG: myotonic discharges (Concept Id: C4022169)

    https://www.ncbi.nlm.nih.gov/medgen/867779
    High frequency discharges in electromyography (EMG) that vary in amplitude and frequency, waxing and waning continuously with firing frequencies ranging from 150/second down to 20/second and producing a sound that has been referred to as a dive bomber sound. EMG: myotonic discharges.

Myotonic discharge - YouTube

    https://www.youtube.com/watch?v=hQB5uP4_7yU
    This video demonstrates the characteristic diving bomber sound of myotonic discharge while moving the needle inside the muscle. This patient showed both mech...

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