EMERGING ROLE OF ULTRASOUND IMAGING ASSOCIATED TO CLINICAL NEUROPHYSIOLOGY AS A SUPPLEMENTARY DIAGNOSTICS TECHNIQUE OF PERIPHERAL NERVES PATHOLOGIES: A SICILIAN EXPERIENCE

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Abstract

PURPOSE: to show the relevance of peripheral nerve ultrasound imaging as a supplementary technique in a clinical neurophysiological evaluation.METHODS: peripheral nerves ultrasound (US) examination was performed in patients with a medical history of nerve entrapment and/or post-traumatic neuropathy but with clinical or neurophysiological unusual findings. A 10-18 MHz transducer was used.RESULTS: we recruited 50 patients with clinical evidence of peripheral neuropathies (25M, 25F): 24 median nerves, 1 anterior interosseous, 14 ulnar, 3 brachial plexus, 2 posterior interosseus, 1 superficial radial, 1 superficial peroneal and 4 common peroneal nerves. Overall 20/50 patients had a history of trauma: 4/24 patients with median pathology, 6/14 ulnar, 3/4 common peroneal, 1/2 posterior interosseous and all cases of involvement of the brachial plexus, superficial peroneal and superficial radial nerves.CONCLUSIONS: our data show that peripheral nerve US is advisable: in all patients with post-traumatic etiology (40%) as it could reveal neuromas and neurotmesis; in all post-surgical iatrogenic onset neuropathies for the uncommon sites of injury; in severe diseases with not evocable nerve at the neurophysiological examination; in patients with diffuse pre-existing (and confounding) neurophysiological alterations (but with clinical suspect of new neuropathy); in entrapment neuropathies for screening purpose (we found concomitant tenosynovitis in 21.7% of carpal tunnel syndromes; dynamic ulnar nerve luxation at the elbow in 28.5% of case); in all brachial plexus pathologies as multiple sites of injury – i.e. radial, ulnar and posterior interosseous have been documented; for early selection of surgical candidates and post-surgical patients monitoring.
Original languageEnglish
Number of pages1
Publication statusPublished - 2013

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Neurophysiology
Peripheral Nerves
Ultrasonography
Pathology
Brachial Plexus
Nerve Compression Syndromes
Tenosynovitis
Nervous System Trauma
Neuroma
Radial Nerve
Peroneal Nerve
Ulnar Nerve
Carpal Tunnel Syndrome
Multiple Trauma
Median Nerve
Wounds and Injuries
Physiologic Monitoring
Peripheral Nervous System Diseases
Elbow
Transducers

Cite this

@conference{e31a06c03e5944688eb8df7b12354bcb,
title = "EMERGING ROLE OF ULTRASOUND IMAGING ASSOCIATED TO CLINICAL NEUROPHYSIOLOGY AS A SUPPLEMENTARY DIAGNOSTICS TECHNIQUE OF PERIPHERAL NERVES PATHOLOGIES: A SICILIAN EXPERIENCE",
abstract = "PURPOSE: to show the relevance of peripheral nerve ultrasound imaging as a supplementary technique in a clinical neurophysiological evaluation.METHODS: peripheral nerves ultrasound (US) examination was performed in patients with a medical history of nerve entrapment and/or post-traumatic neuropathy but with clinical or neurophysiological unusual findings. A 10-18 MHz transducer was used.RESULTS: we recruited 50 patients with clinical evidence of peripheral neuropathies (25M, 25F): 24 median nerves, 1 anterior interosseous, 14 ulnar, 3 brachial plexus, 2 posterior interosseus, 1 superficial radial, 1 superficial peroneal and 4 common peroneal nerves. Overall 20/50 patients had a history of trauma: 4/24 patients with median pathology, 6/14 ulnar, 3/4 common peroneal, 1/2 posterior interosseous and all cases of involvement of the brachial plexus, superficial peroneal and superficial radial nerves.CONCLUSIONS: our data show that peripheral nerve US is advisable: in all patients with post-traumatic etiology (40{\%}) as it could reveal neuromas and neurotmesis; in all post-surgical iatrogenic onset neuropathies for the uncommon sites of injury; in severe diseases with not evocable nerve at the neurophysiological examination; in patients with diffuse pre-existing (and confounding) neurophysiological alterations (but with clinical suspect of new neuropathy); in entrapment neuropathies for screening purpose (we found concomitant tenosynovitis in 21.7{\%} of carpal tunnel syndromes; dynamic ulnar nerve luxation at the elbow in 28.5{\%} of case); in all brachial plexus pathologies as multiple sites of injury – i.e. radial, ulnar and posterior interosseous have been documented; for early selection of surgical candidates and post-surgical patients monitoring.",
author = "Cesare Gagliardo and Massimo Midiri",
year = "2013",
language = "English",

}

TY - CONF

T1 - EMERGING ROLE OF ULTRASOUND IMAGING ASSOCIATED TO CLINICAL NEUROPHYSIOLOGY AS A SUPPLEMENTARY DIAGNOSTICS TECHNIQUE OF PERIPHERAL NERVES PATHOLOGIES: A SICILIAN EXPERIENCE

AU - Gagliardo, Cesare

AU - Midiri, Massimo

PY - 2013

Y1 - 2013

N2 - PURPOSE: to show the relevance of peripheral nerve ultrasound imaging as a supplementary technique in a clinical neurophysiological evaluation.METHODS: peripheral nerves ultrasound (US) examination was performed in patients with a medical history of nerve entrapment and/or post-traumatic neuropathy but with clinical or neurophysiological unusual findings. A 10-18 MHz transducer was used.RESULTS: we recruited 50 patients with clinical evidence of peripheral neuropathies (25M, 25F): 24 median nerves, 1 anterior interosseous, 14 ulnar, 3 brachial plexus, 2 posterior interosseus, 1 superficial radial, 1 superficial peroneal and 4 common peroneal nerves. Overall 20/50 patients had a history of trauma: 4/24 patients with median pathology, 6/14 ulnar, 3/4 common peroneal, 1/2 posterior interosseous and all cases of involvement of the brachial plexus, superficial peroneal and superficial radial nerves.CONCLUSIONS: our data show that peripheral nerve US is advisable: in all patients with post-traumatic etiology (40%) as it could reveal neuromas and neurotmesis; in all post-surgical iatrogenic onset neuropathies for the uncommon sites of injury; in severe diseases with not evocable nerve at the neurophysiological examination; in patients with diffuse pre-existing (and confounding) neurophysiological alterations (but with clinical suspect of new neuropathy); in entrapment neuropathies for screening purpose (we found concomitant tenosynovitis in 21.7% of carpal tunnel syndromes; dynamic ulnar nerve luxation at the elbow in 28.5% of case); in all brachial plexus pathologies as multiple sites of injury – i.e. radial, ulnar and posterior interosseous have been documented; for early selection of surgical candidates and post-surgical patients monitoring.

AB - PURPOSE: to show the relevance of peripheral nerve ultrasound imaging as a supplementary technique in a clinical neurophysiological evaluation.METHODS: peripheral nerves ultrasound (US) examination was performed in patients with a medical history of nerve entrapment and/or post-traumatic neuropathy but with clinical or neurophysiological unusual findings. A 10-18 MHz transducer was used.RESULTS: we recruited 50 patients with clinical evidence of peripheral neuropathies (25M, 25F): 24 median nerves, 1 anterior interosseous, 14 ulnar, 3 brachial plexus, 2 posterior interosseus, 1 superficial radial, 1 superficial peroneal and 4 common peroneal nerves. Overall 20/50 patients had a history of trauma: 4/24 patients with median pathology, 6/14 ulnar, 3/4 common peroneal, 1/2 posterior interosseous and all cases of involvement of the brachial plexus, superficial peroneal and superficial radial nerves.CONCLUSIONS: our data show that peripheral nerve US is advisable: in all patients with post-traumatic etiology (40%) as it could reveal neuromas and neurotmesis; in all post-surgical iatrogenic onset neuropathies for the uncommon sites of injury; in severe diseases with not evocable nerve at the neurophysiological examination; in patients with diffuse pre-existing (and confounding) neurophysiological alterations (but with clinical suspect of new neuropathy); in entrapment neuropathies for screening purpose (we found concomitant tenosynovitis in 21.7% of carpal tunnel syndromes; dynamic ulnar nerve luxation at the elbow in 28.5% of case); in all brachial plexus pathologies as multiple sites of injury – i.e. radial, ulnar and posterior interosseous have been documented; for early selection of surgical candidates and post-surgical patients monitoring.

UR - http://hdl.handle.net/10447/84172

M3 - Other

ER -