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Book Reviews
Aug 2011

Single Fiber EMG, 3rd ed

Author Affiliations

Author Affiliation: Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas.

Arch Neurol. 2011;68(8):1083-1084. doi:10.1001/archneurol.2011.158

This book is already well known to electromyographers, and a new edition is very welcome. Personally, I have fond memories of this textbook ever since I was fortunate enough to acquire a copy of the 1979 first edition to use during my fellowship training in electromyography (EMG). It is fair to say that a careful reading of this text is required for anyone who wishes to perform high-quality single fiber EMG (SFEMG). Performing SFEMG is technically challenging and requires a firm understanding of the basic principles underlying the technique as well as attention to the numerous potential errors in interpretation. This classic textbook covers these topics in the detail required to properly perform SFEMG. The utility of this text, however, is not limited to the minority of electrodiagnosticians that perform SFEMG. An understanding of the phenomenology underlying SFEMG will be extremely helpful to all neuromuscular physicians and those performing conventional electromyography. The first several chapters comprise a very nice review of the physiology of muscle innervation and neuromuscular junction transmission. Later chapters review the pathophysiology of specific neuromuscular disorders, using a discussion of SFEMG findings to help illustrate mechanisms of disease. The chapters in between focus on important practical (but highly technical) issues in SFEMG, such as electrode design, waveform triggering, and data analysis. The book concludes with Dr Stålberg's nice account of the history of SFEMG.