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To the Editor:
The article by Hsu et al.1 provided a very elegant demonstration of the value of the technique of inching in the localization of focal lesions of motor and sensory axons and the ability of this technique to characterize the nature of the lesion as demyelinating. Whether the demyelination is producing focal axonal slowing of conduction, fiber blocking, or both may also be demonstrated and the percentage of total fibers blocked can be estimated. The presence and extent of axonotmesis may also be determined. This information has important prognostic (as the authors point out) and treatment implications and can be obtained in the EMG evaluation of any focal nerve lesion when stimulation proximal and distal to the lesion is possible (e.g., …
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