Rua Luiz Antônio da Silveira 1661 - 15025-020 São José do Rio Preto SP, Brazil
Tel +55 17 3232-4567   Fax +55 17 3232-7757   
jaris@terra.com.br

	João Aris Kouyoumdjian, MD, PhD - CRM 27.557
			Graduated in 1976 from the State Faculty of Medicine, São José do Rio Preto, São Paulo, Brazil
			Medical Residency in Clinical Neurology - University of São Paulo, Brazil - 1977, 1978 and 1979
			Research Fellowship Programme, Muscular Dystrophy Group Research Laboratories, University of Newcastle upon-Tyne, England - 1980/81
			Associate Professor of Neurology and Clinical Neurophysiology (EMG) at the State Faculty of Medicine, São José do Rio Preto (www.famerp.br) since 1981 (jaris@famerp.br)
			Fellowship in Clinical Neurophysiology (electroneuromyography and evoked potentials) at Hospital SARAH, Brasília, DF, Brazil - 1988
			Board Certification in Electroneuromyography, Brazilian Association of Clinical Neurophysiology, Brazilian Medical Association - 1991
			President of the Brazilian Society of Investigation of Neuromuscular Diseases from 1991 - 1993
			Member of the Brazilian Association of Clinical Neurophysiology
			Member of the American Association of Neuromuscular and Electrodiagnostic Medicine (www.aanem.net)
			Master degree, 1998: "Carpal tunnel syndrome: clinical, epidemiological and nerve conduction studies in 668 cases"
			Ph Degree, 2000: "Age, body mass index and wrist index as risk factors for carpal tunnel syndrome and nerve conduction severity"
			Books: "Eletroneuromiografia: conceitos de importância na prática médica" ("Electromyography: main utility in clinical practice") and "Síndrome do túnel do carpo" ("Carpal tunnel syndrome")
			Author of more than 30 medical articles
	Nivia Canile do Valle Kouyoumdjian, MD - CRM 49.819
			Graduated in 1983 from the State Faculty of Medicine, São José do Rio Preto, São Paulo, Brazil
			Medical training in Neurology - State Faculty of Medicine, São José do Rio Preto, São Paulo, Brazil, 1984 - 1987
			Medical training in Clinical Neurophysiology (electroencephalography and evoked potentials) at Hospital SARAH, Brasília, DF, Brazil - 1988
			Member of the Brazilian League of Epilepsy
			Board Certification in Electroencephalography, Brazilian Association of Clinical Neurophysiology, Brazilian Medical Association - 1997
	Analysis of the main objectives of electroneuromyography evaluation in some neurological syndromes
	Traumatic lesions of the peripheral nerve Peripheral Neuropathies Evaluate severity, topography and evolution of lesion. EMG request at the correct time in cases of open or closed injury. Pathophysiology of injury: axonal, demyelination or mixed. Predominant type: sensitive, motor or mixed. Evaluation of possible assymetries. Entrapment Neuropathies Facial paralysis Detect the presence of focal demyelination of the peripheral nerve (main type of injury) with conduction blockage. Motor nerve conduction to evaluate the prognosis from the seventh day on. Evaluate needle electromyography evolution (reinervation).  Myasthenia Gravis Motor Neuron Disease  (amyotrophic lateral sclerosis) Detect presence of decrement (post-synaptic disfunction at the end-plate): myasthenia gravis. Detect presence of increment (pre-synaptic disfunction at the end-plate): Lambert-Eaton syndrome. Evaluate associated myopathy. Dennervation/reinnervation in 3 segments of 5: superior limbs, inferior limbs and face/neck. Dennervation and reinnervation in 3 regions of 4: brain stem, cervical spine, thoracic spine and lumbosacral spine. Normal nerve conduction. Evaluate blockage of motor conduction only in cases of peripheral motor neuron disease. Radiculopathies Myopathies Detect topography, severity and evolution of root injury. Detect presence of motor action unit potentials with typical abnormality. Detect abnormal spontaneous activity (myotonia). © 2001/2005 Neurodiagnóstico. All the all rights reserved. Site better visualized in resolution 800x600 pixels in IE 4,0.

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