阴性"超越"神经损伤:成像特征
Yoshimi Endo1, Ogonna K Nwawka2, Darryl B Sneag2
1Department of Radiology and Imaging, Hospital for Special Surgery, New York, NY, USA. endoy@hss.edu.
Skeletal radiology
|January 2, 2024
概括
由于手术仪器造成的Iatrogenic神经损伤可以通过成像中的二次标志来识别. 这些包括皮质缺陷,痕组织,螺丝尖和指向受伤神经的骨道.
科学领域:
- 放射学 放射学是一门学科.
- 整形外科手术 整形外科手术
- 神经学 神经学
背景情况:
- 在整形外科手术过程中,可能会发生阴性神经损伤.
- 过度冲击神经损伤发生在手术仪器穿透骨后损害神经时.
研究的目的:
- 描述iatrogenic"超越"神经损伤的超声波和MRI特征.
- 为了识别二次成像标志,表明这种特定的神经损伤机制.
主要方法:
- 一个整形外科医院的放射学数据库 (2016-2022) 的回顾性审查.
- 纳入标准:通过骨头进行仪器仪表,急性神经病变,电诊断确认,以及与超速损伤相一致的成像.
- 对初级和二级症状的超声波和MRI研究的评估.
主要成果:
- 确定了6名患有过度神经损伤的患者.
- 在骨折固定和肌修复过程中,伤害涉及放射性,骨,表面骨和后骨间神经.
- 观察到的次要症状:皮层缺陷 (n=2),痕 (n=2),螺丝尖的接近 (n=1),以及MRI上的骨 (n=2).
结论:
- 二次成像标志对于诊断超速神经损伤至关重要.
- 这些迹象包括皮质缺陷,痕延伸到神经,螺丝尖方向和MRI上的骨道.
- 识别这些特征有助于准确诊断和管理阴性神经损伤.
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