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N. ¥. Neurological Associates, P.C. Diego J, Herbstein, MD David H. Snyder, MD Emilio Oribe, MD. FACP Tanya Fatimi, MD Yvonne Zaharakis, MD Name: Epstein, Jeffrey Date of Birth: 01/20/1953 Date of Exam 21 Nov 2011 Reason for study: leg paresthesias Referring Physician: R. Shimony, MD Examining Physician: —T. Fatimi, MD Patient History: Fifty eight year old man referred with bilateral leg paresthesias on exertion Symptoms are most prominent in the calves Strength, sensation and reflexes are normal Description: Motor nerve conduction studies of the right peroneal and right tibial nerves show normal amplitudes. conduction velocities, distal latencies. and F-wave minimal latencies. Sensory netve conduction study of the right sural nerve shows normal amplitudes and conduction velocities. Needle EMG examination of selected muscles in the right leg shows no spontaneous activity, normal motor unit configuration, and recruitment consistent with effort. Bilateral lumbosacral paraspinal muscles show no spontaneous activity, Conclusions: This is a normal study without ele siologic evidence of lumbosacral radiculopathy, larye-fiber polyneuropathy, Page | EFTA00282967

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Jul. 11. 2016 10:41AM No. 4285 P. 3 Epstein, Jefirey 21 Nov 2011 Motor Nerve Conduction: Difference Veloci Peroneal.R Fibula (head MEET Popliteal fossa bode Tibial.R a ~~ + “32m TAbductorhallucis-Ankle | 6.7 ms_ [nef us —_ 15.4ms_j _ S.omV__{ Ankle-Popliteal fosss_ |] 8.7 ms 430 mm Extensor digitorum brevis- Ankle-libula (head) Poplitesl fossa [Nerve Sensory Nerve Conduction: Nerve and Site Peak Segment Latency | Distance | Condaction Latency __|_ Difference Velocity Sural.R Page 2 EFTA00282968