Three-Tesla Magnetic Resonance Neurography Of The Brachial Plexus In Cervical Radiculopathy

MUSCLE & NERVE(2015)

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摘要
Introduction: There have been no reports of the use of 3-Tesla magnetic resonance neurography (3T MRN) to characterize cervical radiculopathy. In particular, there are no reports of MRN of brachial plexus involvement in patients with cervical radiculopathy. Methods: We reviewed retrospectively 12 consecutive patients with cervical radiculopathy who underwent 3T MRN. Results: The median age was 54.5 years. Eleven of 12 patients were men. The distribution of nerve-root signal abnormality was correlated with intervertebral foraminal stenosis and the presence of muscles that exhibited weakness and/or signs of denervation on electromyography. MRN abnormalities were found to extend into the distal part of the brachial plexus in 10 patients. Conclusion: This study demonstrates that MRN is potentially useful for diagnosis in patients with suspected cervical radiculopathy. Moreover, the finding of brachial plexus involvement on MRN may indicate a possible pathophysiological relationship between cervical radiculopathy and brachial plexopathy. Muscle Nerve 52:392-396, 2015
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关键词
brachial plexopathy, cervical disk herniation, cervical radiculopathy, magnetic resonance neurography, neuralgic amyotrophy
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