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Ultrasound II: Endoscopic Ultrasound and FibroScan01:25

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Ultrasonography

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Image Acquisition using Portable Sonography for Emergency Airway Management
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Ultrasonographic Tinel sign.

Joseph N Chipman1, Ryan T Mott, Constance A Stanton

  • 1Department of Neurology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina 27157, USA. j.chipman@hotmail.com

Muscle & Nerve
|September 22, 2009
PubMed
Summary
This summary is machine-generated.

High-resolution ultrasound reveals a new sign, the ultrasonographic Tinel sign, to detect nerve lesions. This method aids in guiding nerve biopsies for conditions like mononeuritis multiplex.

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Area of Science:

  • Neurology
  • Medical Imaging
  • Ultrasound Technology

Background:

  • High-resolution ultrasound is a valuable tool for peripheral nerve evaluation.
  • Clinical experience with ultrasound has led to the identification of specific diagnostic signs.
  • Accurate localization of nerve lesions is crucial for effective diagnosis and treatment.

Observation:

  • A novel ultrasonographic sign, termed the "ultrasonographic Tinel sign," has been identified.
  • This sign involves eliciting paresthesias by compressing a nerve lesion with the ultrasound transducer.
  • The ultrasonographic Tinel sign has not been previously described in medical literature.

Findings:

  • The ultrasonographic Tinel sign was successfully utilized to guide a nerve biopsy.
  • This sign accurately localized the affected nerve in a patient with mononeuritis multiplex.
  • The case demonstrates the clinical utility of this new ultrasonographic finding.

Implications:

  • The ultrasonographic Tinel sign offers a new, non-invasive method for diagnosing peripheral nerve abnormalities.
  • It can improve the accuracy and efficiency of nerve biopsies.
  • This finding may enhance the diagnostic capabilities of ultrasound in neurology.