{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T05:33:25Z","timestamp":1775367205977,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2009,7,16]],"date-time":"2009-07-16T00:00:00Z","timestamp":1247702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In this study we describe the electrophysiological findings in botulism patients with neuromuscular respiratory failure from major botulism outbreaks in Thailand. High\u2010rate repetitive nerve stimulation testing (RNST) of the abductor digiti minimi (ADM) muscle of 17 botulism patients with neuromuscular respiratory failure showed mostly incremental responses, especially in response to &gt;20\u2010H<jats:sc>Z<\/jats:sc> stimulation. In the most severe stage of neuromuscular respiratory failure, RNST failed to elicit a compound muscle action potential (CMAP) of the ADM muscle. In the moderately severe stage, the initial CMAPs were of very low amplitude, and a 3\u2010H<jats:sc>Z<\/jats:sc> RNST elicited incremental or decremental responses. A 10\u2010H<jats:sc>Z<\/jats:sc> RNST elicited mainly decremental responses. In the early recovery stage, the initial CMAP amplitudes of the ADM muscle improved, with initially low amplitudes and an incremental response to 3\u2010 and 10\u2010H<jats:sc>Z<\/jats:sc> RNSTs. Improved electrophysiological patterns of the ADM muscle correlated with improved respiratory muscle function. Incremental responses to 20\u2010H<jats:sc>Z<\/jats:sc> RNST were most useful for diagnosis. The initial electrodiagnostic sign of recovery following treatment of neuromuscular respiratory failure was an increased CMAP amplitude and an incremental response to 10\u201320\u2010H<jats:sc>Z<\/jats:sc> RNST. Muscle Nerve 40: 271\u2013278, 2009<\/jats:p>","DOI":"10.1002\/mus.21256","type":"journal-article","created":{"date-parts":[[2009,7,18]],"date-time":"2009-07-18T06:46:45Z","timestamp":1247899605000},"page":"271-278","source":"Crossref","is-referenced-by-count":14,"title":["Electrophysiological diagnosis and patterns of response to treatment of botulism with neuromuscular respiratory failure"],"prefix":"10.1002","volume":"40","author":[{"given":"Subsai","family":"Kongsaengdao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanoksri","family":"Samintarapanya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siwarit","family":"Rusmeechan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pasiri","family":"Sithinamsuwan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Surat","family":"Tanprawate","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,7,16]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"677","article-title":"Food\u2010borne botulism","volume":"52","author":"Agarwal AK","year":"2004","journal-title":"J Assoc Phys India"},{"key":"e_1_2_7_3_2","unstructured":"Banluang Hospital. Botulism report [in Thai]. Available at:http:\/\/www.banluanghospital.com\/index.php?laypboardshow&acpwebboard_show&Categorypbanluanghospitalcom&thispagep&Nop159977. Accessed 24 March2006."},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annfar.2005.06.002"},{"key":"e_1_2_7_5_2","unstructured":"Centers for Disease Control and Prevention. Botulism from homecanned bamboo shoots\u2014Nan Province Thailand March 2006. Available at:http:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm5514a1.htm. Accessed 23 March2006."},{"key":"e_1_2_7_6_2","doi-asserted-by":"crossref","first-page":"3449","DOI":"10.1128\/AEM.65.8.3449-3457.1999","article-title":"Predictive model that describes the effect of prolonged heating at 70 to 90\u00b0C and subsequent incubation at refrigeration temperatures on growth from spores and toxigenesis by nonproteolytic Clostridium botulinum in the presence of lysozyme","volume":"65","author":"Fernandez PS","year":"1999","journal-title":"Appl Environ Microbiol"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.biologicals.2005.11.009"},{"key":"e_1_2_7_8_2","first-page":"518","volume-title":"Electrodiagnosis in disease of nerve and muscle: principles and practice","author":"Kimura J","year":"1983"},{"key":"e_1_2_7_9_2","unstructured":"KongsengdaoS. Botulism outbreak in Thailand (Episode II) Clinical Trial Registry Number NCT00348426. Available at:http:\/\/www.clinicaltrials.gov\/ct\/show\/NCT00348426?order=3Accessed July 2 2006."},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1086\/508176"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1086\/444507"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid1009.030745"},{"key":"e_1_2_7_13_2","first-page":"1021","article-title":"Foodborne botulism outbreaks following consumption of home\u2010canned bamboo shoots in northern Thailand","volume":"83","author":"Swaddiwudhipong W","year":"2000","journal-title":"J Med Assoc Thai"},{"key":"e_1_2_7_14_2","unstructured":"WongwatcharapaiboonP ThaikrueaL UngchusakK et al. Foodborne botulism associated with home\u2010canned bamboo shoots Thailand 1998. Available at:http:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm4821a1.htm. Accessed 22 March2006."},{"key":"e_1_2_7_15_2","unstructured":"World Health Organization. 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