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말초신경질환에서 자기공명영상의 진단적 가치

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Author(s)
이한영이장철김일만이창영손은익김동원임만빈Han Young LeeJang Chull LeeIl-Man KimChang-Young LeeEun Ik SonDong Won KimMan Bin Yim
Keimyung Author(s)
Lee, Jang ChullKim, ElLee, Chang YoungSon, Eun IkKim, Dong WonYim, Man Bin
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
대한신경외과학회지
Issued Date
2001
Volume
30
Issue
9
Abstract
Objective:The development of magnetic resonance neurography(MRN) has made it possible to produce highresolution images of peripheral nerves themselves, as well as associated intraneural and extraneural lesions. We evaluated the clinical application and utility of high-resolution MRN techniques for the diagnosis and treatment of a variety of peripheral nerve disorder(PND)s.
Material and Method:MRN images were obtained using T1-weighted spin echo, T2-weighted fast spin echo with fat suppression, and short tau inversion recovery(STIR) fast spin-echo pulse sequences. Fifteen patients were studied, three with brachial plexus tumors, five with chronic entrapment syndromes, and seven with traumatic peripheral lesions. Ten patients underwent surgery.
Results:In MRN with STIR sequences of axial and coronal imagings, signals of the peripheral nerves with various lesions were detected as fairly bright signals and were discerned from signals of the uninvolved nerves. Increased signal with proximal swelling and distal flattening of the median nerve were seen in all patients of carpal tunnel syndrome. Among the eight patients with brachial plexus injury or tumors, T2-weighted MRN showed increased signal intensity in involved roots in five, enhanced mass lesions in three, and traumatic pseudomeningocele in three. Other associated MRI findings were adjacent bony signal change, neuroma, root adhesion and denervated muscle atophy with signal change.
Conclusion:MRN with high-resolution imaging can be useful in the preoperative evaluation and surgical planning in patients with peripheral nerve lesions.
Alternative Title
The Value of MRI in Diagnosis of Peripheral Nerve Disorders
Keimyung Author(s)(Kor)
이장철
김엘
이창영
손은익
김동원
임만빈
Publisher
School of Medicine
Citation
이한영 et al. (2001). 말초신경질환에서 자기공명영상의 진단적 가치. 대한신경외과학회지, 30(9), 1120–1126.
Type
Article
ISSN
1225-8245
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39172
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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