Bizarre repetitive discharges recorded with single fibre EMG. 1983

J Trontelj, and E Stålberg

Single fibre EMG was used to record bizarre repetitive discharges in patients with chronic denervation or muscle disorders. The low variability of intervals between individual spike components on successive discharges suggests that the bizarre repetitive discharges are based on ephaptic impulse transmission from the muscle fibre starting the discharge (principal pacemaker) to the adjacent muscle fibres. The low variability of the interdischarge intervals is explained by ephaptic reactivation of the principal pacemaker by one of the fibres participating in the previous discharge (a co-pacemaker). Secondary activator fibres may spread activity to more fibres. The bizarre repetitive discharge stops when either the principal pacemaker or the co-pacemaker become sufficiently subnormal to block. The co-pacemaker may be missing in cases of low frequency bizarre repetitive discharges, particularly in those with irregular interdischarge intervals.

UI MeSH Term Description Entries
D009132 Muscles Contractile tissue that produces movement in animals. Muscle Tissue,Muscle,Muscle Tissues,Tissue, Muscle,Tissues, Muscle
D009135 Muscular Diseases Acquired, familial, and congenital disorders of SKELETAL MUSCLE and SMOOTH MUSCLE. Muscle Disorders,Myopathies,Myopathic Conditions,Muscle Disorder,Muscular Disease,Myopathic Condition,Myopathy
D009422 Nervous System Diseases Diseases of the central and peripheral nervous system. This includes disorders of the brain, spinal cord, cranial nerves, peripheral nerves, nerve roots, autonomic nervous system, neuromuscular junction, and muscle. Neurologic Disorders,Nervous System Disorders,Neurological Disorders,Disease, Nervous System,Diseases, Nervous System,Disorder, Nervous System,Disorder, Neurologic,Disorder, Neurological,Disorders, Nervous System,Disorders, Neurologic,Disorders, Neurological,Nervous System Disease,Nervous System Disorder,Neurologic Disorder,Neurological Disorder
D004576 Electromyography Recording of the changes in electric potential of muscle by means of surface or needle electrodes. Electromyogram,Surface Electromyography,Electromyograms,Electromyographies,Electromyographies, Surface,Electromyography, Surface,Surface Electromyographies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000200 Action Potentials Abrupt changes in the membrane potential that sweep along the CELL MEMBRANE of excitable cells in response to excitation stimuli. Spike Potentials,Nerve Impulses,Action Potential,Impulse, Nerve,Impulses, Nerve,Nerve Impulse,Potential, Action,Potential, Spike,Potentials, Action,Potentials, Spike,Spike Potential

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