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The last chapter deals with more advanced electrophysiologic testing techniques, such as repetitive stimulation studies for neuromuscular junction defects, and less commonly performed nerve conduction studies, such as studies of the long thoracic nerve. It occurs when normal communication between the nerve and muscle is interrupted at the neuromuscular junction - the place where nerve cells connect with the muscles they control. The variability in vocal fold mobility was consistent with bilateral paresis, neuromuscular junction dysfunction, or compensatory hyperfunction in response to unilateral paresis. |
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