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MR evaluation of brachial plexus injuries
R K Gupta1, V S Mehta, A K Banerji
1NMR Research Center, Institute of Nuclear Medicine and Allied Sciences, Delhi, India.
Neuroradiology
|January 1, 1989
Summary
Magnetic resonance (MR) imaging effectively evaluates brachial plexus injuries, identifying abnormalities like neuromas and fibrosis. MR provides a comprehensive diagnostic approach for these complex nerve injuries.
Area of Science:
- Radiology
- Neurology
- Orthopedic Surgery
Background:
- Brachial plexus injuries can result from trauma, leading to significant neurological deficits.
- Accurate diagnosis is crucial for effective treatment and patient outcomes.
Purpose of the Study:
- To evaluate the utility of magnetic resonance (MR) imaging in diagnosing brachial plexus injuries.
- To compare MR findings with myelography and surgical outcomes.
Main Methods:
- Ten patients with brachial plexus injuries underwent MR imaging in multiple planes.
- Myelography was performed in seven cases.
- MR findings were correlated with surgical results and clinical data.
Main Results:
- MR identified various abnormalities including traumatic meningoceles, CSF collections, neuromas, and fibrosis.
- MR findings were confirmed surgically in cases of neuroma.
- Correlation between MR, myelography, and clinical/electrophysiological data was assessed.
Conclusions:
- MR imaging appears to be a valuable tool for the complete evaluation of brachial plexus injuries.
- It offers detailed visualization of nerve roots, trunks, divisions, and cords.
- MR may be the preferred diagnostic procedure for these injuries.