Peripheral Nerve Ultrasound: from Clinic to Operating Room

2022 ◽  
Author(s):  
Aadithya Rangarajan ◽  
Lokesh Bathala ◽  
Madhusudan Gururajrao ◽  
M. S. Mahesh ◽  
Man Mohan Mehndiratta
Keyword(s):  
Peripheral Nerve ◽  
Operating Room ◽  
Nerve Ultrasound

Preoperative Localization of Spinal and Peripheral Pathologies for Surgery by Computed Tomography–Guided Placement of a Specialized Needle System

Neurosurgery ◽  
2010 ◽  
Vol 66 (4) ◽  
pp. 784-787 ◽  
Author(s):  
Philipp Slotty ◽  
Patrick Kröpil ◽  
Mark Klingenhöfer ◽  
Hans-Jakob Steiger ◽  
Daniel Hänggi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Peripheral Nerve ◽  
Radiation Exposure ◽  
Operating Room ◽  
Operating Room Personnel ◽  
Peripheral Nerve Surgery ◽  
Preoperative Marking ◽  
Intraoperative Fluoroscopy ◽  
Nerve Surgery ◽  
Intraoperative Localization

Abstract OBJECTIVE Exact intraoperative localization of pathologies in spinal and peripheral nerve surgery is not easily achieved. In spinal surgery, intraoperative fluoroscopy is the common method for identification of the level affected. It seldom visualizes the pathology itself and is prone to error in identifying anatomic disorders and superimposing structures. In peripheral nerve surgery, intraoperative fluoroscopy is of little value. The present technical study was conducted to evaluate the feasibility of using a preoperative computed tomography–guided needle marking system, which was previously developed for use in gynecology. The goal was to reduce intraoperative localization error and radiation exposure to patients and operating room personnel. METHODS We used a flexible hooked-wire needle marking system, which has previously been used for preoperative marking of breast lesions, to localize and tag spinal and peripheral nerve pathologies. Marking was carried out under computed tomographic control before surgery. Seven illustrative cases were chosen for this report: 6 patients with disorders of the spine and 1 patient with a peripheral nerve schwannoma. RESULTS No adverse reactions, aside from minor discomfort, were observed in this study. In all cases, the needle could be used as a reliable guide for the surgical approach and led directly to the pathology. In no case was additional intraoperative fluoroscopy needed. The level of radiation exposure to the patient as a result of computed tomography–based marking was similar to or less than that encountered in conventional intraoperative x-ray localization. Radiation exposure to the operating room personnel was eliminated by this method. CONCLUSION Preoperative marking of spinal level or peripheral nerve pathologies with a flexible hooked-wire needle marking system is feasible and appears to be safe and useful for neurosurgical spinal and peripheral procedures.

Electrodiagnostic studies and peripheral nerve ultrasound

2015 ◽  
pp. 33-33
Author(s):  
Kay Ng ◽  
Aravinda Therimadasamy ◽  
Li Eileen ◽  
Einar Wilder-Smith
Keyword(s):  
Peripheral Nerve ◽  
Nerve Ultrasound

Peripheral Nerve Ultrasound and Short-Segment Nerve Conduction Studies Before and After Ulnar Nerve Decompression

2016 ◽  
Vol 35 (6) ◽  
pp. 1367-1368
Author(s):  
Jonathan K. Smith ◽  
Matthew E. Miller ◽  
David E. Reece ◽  
Yin-Ting Chen ◽  
Mark E. Landau
Keyword(s):  
Peripheral Nerve ◽  
Ulnar Nerve ◽  
Nerve Conduction ◽  
Nerve Conduction Studies ◽  
Nerve Ultrasound ◽  
Short Segment ◽  
Nerve Decompression ◽  
Before And After

Peripheral nerve ultrasound scoring systems: benchmarking and comparative analysis

2016 ◽  
Vol 264 (2) ◽  
pp. 243-253 ◽  
Author(s):  
Alexander Grimm ◽  
Tim W. Rattay ◽  
Natalie Winter ◽  
Hubertus Axer
Keyword(s):  
Comparative Analysis ◽  
Peripheral Nerve ◽  
Scoring Systems ◽  
Nerve Ultrasound

S69. Peripheral nerve ultrasound in Friedreich’s ataxia

2018 ◽  
Vol 129 ◽  
pp. e167-e168
Author(s):  
Eoin Mulroy ◽  
Luciana Pelosi ◽  
Ruth Leadbetter ◽  
Purwa Joshi ◽  
Miriam Rodrigues ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Friedreich’S Ataxia ◽  
Friedreich's Ataxia ◽  
Nerve Ultrasound

V18. Peripheral nerve ultrasound in vasculitic neuropathies

2015 ◽  
Vol 126 (8) ◽  
pp. e75
Author(s):  
A. Grimm ◽  
B. Décard ◽  
H. Axer
Keyword(s):  
Peripheral Nerve ◽  
Nerve Ultrasound

Serial peripheral nerve ultrasound in Guillain–Barré syndrome

2016 ◽  
Vol 127 (2) ◽  
pp. 1652-1656 ◽  
Author(s):  
Siti Nur Omaira Razali ◽  
Thaarani Arumugam ◽  
Nobuhiro Yuki ◽  
Faizatul Izza Rozalli ◽  
Khean-Jin Goh ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Guillain Barre Syndrome ◽  
Nerve Ultrasound ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

scholarly journals Nerve ultrasound in emergency room: a case of traumatic ischiatic nerve neurotmesis

2018 ◽  
Vol 20 (2) ◽  
pp. 255 ◽  
Author(s):  
Nicola Romano ◽  
Jeries Paolo Zawaideh ◽  
Aldo Fischetti ◽  
Caterina Lapucci ◽  
Sergio Gennaro ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Peripheral Nerve ◽  
Emergency Room ◽  
Spatial Resolution ◽  
High Spatial Resolution ◽  
Ultrasound Transducer ◽  
Short Report ◽  
Nerve Ultrasound ◽  
Peripheral Nerve Lesions ◽  
Deep Cuts

A 22 years-old-man was admitted to emergency after trauma. He suffered multiple deep cuts on his left leg. A lesion of the ischiatic nerve was suspected, and an ultrasound (US) evaluation was requested to confirm it. The study was conducted in the emergency room using a linear ultrasound transducer of 6-15 MHz and demonstrated the completely truncation of the ischiatic nerve (neurotmesis - Sunderland Grade V) with the proximal end retracted up to about 3cm from the edge of the wound. It was a very useful information for the neurosurgeon who after performed an end-to-end neurorrhaphy with suturation of perineurium. This short report underlines the importance of US, that thanks to its high spatial resolution and its time- and cost-effectiveness, can be considered a very important tool for the physician in emergency room to characterize peripheral nerve lesions.

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