MR neurography in traumatic brachial plexopathy

European Journal of Radiology
Vaishali UpadhyayaRatni B Gujral

Abstract

Imaging of the brachial plexus has come a long way and has progressed from plain radiography to CT and CT myelography to MRI. Evolution of MR imaging sequences has enabled good visualization of the small components of the plexus. The purpose of our study was to correlate the results of MR neurography (MRN) in patients with traumatic brachial plexopathy with their operative findings. We wanted to determine the usefulness of MRN and how it influenced surgical planning and outcome. Twenty patients with features of traumatic brachial plexopathy who were referred to the MRI section of the Department of Radiology between September 2012 and January 2014 and subsequently underwent exploration were included in the study. MR neurography and operative findings were recorded at three levels of the brachial plexus-roots, trunks and cords. Findings at the level of roots and trunks were noted in 14 patients each and at the level of the cords in 16 patients. 10 patients had involvement at all levels. Axillary nerve involvement as a solitary finding was noted in two patients. These patients were subsequently operated and their studies were assigned a score based on the feedback from the operating surgeons. The MRN study was scored as three (goo...Continue Reading

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Citations

Oct 2, 2015·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Vaishali UpadhyayaArun Kumar Singh
Oct 21, 2016·The British Journal of Radiology·Stephen FisherAvneesh Chhabra
Jan 11, 2018·European Radiology·Vaishali UpadhyayaBrijesh Mishra
Apr 17, 2018·Journal of Computer Assisted Tomography·Shivani AhlawatLaura M Fayad
Sep 25, 2018·AJR. American Journal of Roentgenology·Adam D SingerAvneesh Chhabra
Oct 3, 2018·The Journal of Trauma and Acute Care Surgery·Brandon W SmithThomas J Wilson
Nov 13, 2018·Magnetic Resonance in Medical Sciences : MRMS : an Official Journal of Japan Society of Magnetic Resonance in Medicine·Michael J HoFelix Pierre Kuhn
Nov 20, 2019·The Indian Journal of Radiology & Imaging·Vaishali UpadhyayaAshok Kumar Pandey
May 20, 2021·Journal of Brachial Plexus and Peripheral Nerve Injury·Vanessa KuBrendan MacKay
Sep 5, 2021·Hand Surgery and Rehabilitation·J Silvera, E Masmejean

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