The utility of electrodiagnostic testing in unprovoked rhabdomyolysis in the era of next-generation sequencing.
Michael P SkolkaMargherita MiloneWilliam J LitchyRuple S LaughlinDevon I RubinTeerin LiewluckPublished in: Muscle & nerve (2024)
Myopathic EMG occurred in approximately half of patients with unprovoked rhabdomyolysis, more likely in patients with weakness and elevated CK at baseline. Although patients with myopathic EMG were more likely to have nonmetabolic myopathies, nonmyopathic EMG did not exclude myopathy, and genetic testing was primarily helpful to identify an underlying myopathy. Genetic testing should likely be first-tier diagnostic testing following unprovoked rhabdomyolysis.