Peripheral Nerve Surgery: The Role of High-Resolution MR Neurography

被引:44
作者
Thawait, S. K. [2 ]
Wang, K. [1 ]
Subhawong, T. K. [1 ]
Williams, E. H. [3 ]
Hashemi, S. S. [3 ]
Machado, A. J. [1 ]
Thawait, G. K. [1 ]
Soldatos, T. [1 ]
Carrino, J. A. [1 ]
Chhabra, A. [1 ]
机构
[1] Johns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
[2] Yale New Haven Hlth System, Bridgeport Hosp, Dept Radiol, Bridgeport, CT USA
[3] Dellon Inst Peripheral Nerve Surg, Towson, MD USA
基金
美国国家卫生研究院;
关键词
MAGNETIC-RESONANCE NEUROGRAPHY; INTRAOPERATIVE FINDINGS; COMPRESSIVE NEUROPATHY; SITTING POSITION; UPPER EXTREMITY; UPPER-LIMB; INJURY; REPAIR; ENTRAPMENT; MANAGEMENT;
D O I
10.3174/ajnr.A2465
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
High-resolution MRN is becoming increasingly available due to recent technical advancements, including higher magnetic field strengths (eg, 3T), 3D image acquisition, evolution of novel fat-suppression methods, and improved coil design. This review describes the MRN techniques for obtaining high-quality images of the peripheral nerves and their small branches and imaging findings in normal as well as injured nerves with relevant intraoperative correlations. Various microsurgical techniques in peripheral nerves, such as neurolysis, nerve repairs by using nerve grafts, and conduits are discussed, and MRN findings of surgically treated nerves are demonstrated.
引用
收藏
页码:203 / 210
页数:8
相关论文
共 66 条
[1]   High-resolution magnetic resonance imaging is a noninvasive method of observing injury and recovery in the peripheral nervous system [J].
Aagaard, BD ;
Lazar, DA ;
Lankerovich, L ;
Andrus, K ;
Hayes, CE ;
Maravilla, K ;
Kliot, M .
NEUROSURGERY, 2003, 53 (01) :199-203
[2]   Clinical evaluation of a resorbable wrap-around implant as an alternative to nerve repair: A prospective, assessor-blinded, randomised clinical study of sensory, motor and functional recovery after peripheral nerve repair [J].
Aberg, Maria ;
Ljungberg, Christina ;
Edin, Ellenor ;
Millqvist, Helena ;
Nordh, Erik ;
Theorin, Anna ;
Terenghi, Giorgio ;
Wiberg, Mikael .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2009, 62 (11) :1503-1509
[3]   MRI of Peripheral Nerves [J].
Amrami, Kimberly K. ;
Felmlee, Joel P. ;
Spinner, Robert J. .
NEUROSURGERY CLINICS OF NORTH AMERICA, 2008, 19 (04) :559-+
[4]  
Amrami KK, 2008, NEUROSURG CLIN N AM, V19, pvi
[5]   Upper extremity peripheral neuropathies: role and impact of MR imaging on patient management [J].
Andreisek, Gustav ;
Burg, Doris ;
Studer, Ansgar ;
Weishaupt, Dominik .
EUROPEAN RADIOLOGY, 2008, 18 (09) :1953-1961
[6]  
[Anonymous], 1996, J FOOT ANKLE SURG
[7]   Technology Insight: visualizing peripheral nerve injury using MRI [J].
Bendszus, M ;
Stoll, G .
NATURE CLINICAL PRACTICE NEUROLOGY, 2005, 1 (01) :45-53
[8]   MRI of peripheral nerve degeneration and regeneration: correlation with electrophysiology and histology [J].
Bendszus, M ;
Wessig, C ;
Solymosi, L ;
Reiners, K ;
Koltzenburg, M .
EXPERIMENTAL NEUROLOGY, 2004, 188 (01) :171-177
[9]   REPAIR OF MEDIAN AND ULNAR NERVES - PRIMARY SUTURE IS BEST [J].
BIRCH, R ;
RAJI, ARM .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1991, 73 (01) :154-157
[10]   CARPAL-TUNNEL SYNDROME - CORRELATION OF MAGNETIC-RESONANCE-IMAGING, CLINICAL, ELECTRODIAGNOSTIC, AND INTRAOPERATIVE FINDINGS [J].
BRITZ, GW ;
HAYNOR, DR ;
KUNTZ, C ;
GOODKIN, R ;
GITTER, A ;
KLIOT, M .
NEUROSURGERY, 1995, 37 (06) :1097-1103