scholarly journals High resolution ultrasound in evaluation of peripheral nerves in leprosy

2021 ◽  
Vol 0 ◽  
pp. 1-2
Author(s):  
Thalekkara Madhavan Saranya ◽  
Afnitha P. Majeed ◽  
Sarita Sasidharanpillai ◽  
Kalathummarath Sreejith
2018 ◽  
Vol 22 (03) ◽  
pp. 364-374 ◽  
Author(s):  
Nathan Dettori ◽  
Hema Choudur ◽  
Avneesh Chhabra

AbstractHigh-resolution ultrasound serves as a fast, accessible, reliable, and radiation-free tool for anatomical and dynamic evaluation of various peripheral nerves. It can be used not only to identify and diagnose peripheral nerve and perineural pathology accurately but also to guide various nerve and perineural interventions. We describe the normal and pathologic appearances of peripheral nerves, the pathologies commonly affecting the individual peripheral nerves, and the current ultrasound-guided peripheral nerve interventions and techniques. Future directions are also highlighted.


2002 ◽  
Vol 21 (3) ◽  
pp. 315-322 ◽  
Author(s):  
Siegfried Peer ◽  
Peter Kovacs ◽  
Christoph Harpf ◽  
Gerd Bodner

2017 ◽  
Vol 128 (9) ◽  
pp. e252-e253
Author(s):  
Erisela Qerama ◽  
Simon Østergaard Wehrs ◽  
Sara Silkær Bak ◽  
Maria Thelin Johansson ◽  
Anders Fuglsang-Frederiksen

2009 ◽  
Vol 26 (2) ◽  
pp. E13 ◽  
Author(s):  
Ralph W. Koenig ◽  
Maria T. Pedro ◽  
Christian P. G. Heinen ◽  
Thomas Schmidt ◽  
Hans-Peter Richter ◽  
...  

High-resolution ultrasonography is a noninvasive, readily applicable imaging modality, capable of depicting real-time static and dynamic morphological information concerning the peripheral nerves and their surrounding tissues. Continuous progress in ultrasonographic technology results in highly improved spatial and contrast resolution. Therefore, nerve imaging is possible to a fascicular level, and most peripheral nerves can now be depicted along their entire anatomical course. An increasing number of publications have evaluated the role of high-resolution ultrasonography in peripheral nerve diseases, especially in peripheral nerve entrapment. Ultrasonography has been shown to be a precious complementary tool for assessing peripheral nerve lesions with respect to their exact location, course, continuity, and extent in traumatic nerve lesions, and for assessing nerve entrapment and tumors. In this article, the authors discuss the basic technical considerations for using ultrasoniography in peripheral nerve assessment, and some of the clinical applications are illustrated.


2019 ◽  
Vol 67 (7) ◽  
pp. 71 ◽  
Author(s):  
Rashmi Dixit ◽  
Youdhwir Singh ◽  
Sapna Singh ◽  
Sandeep Garg ◽  
Neera Chowdhury

Author(s):  
Carlo Martinoli ◽  
Sonia Airaldi ◽  
Federico Zaottini

The most common disorders affecting peripheral nerves that are amenable to US examination are illustrated in Chapter 126, including compressive neuropathies, polyneuropathies, nerve injuries, tumors, and tumorlike lesions. There is an expanding evidence base to support the use of high-resolution US as an imaging tool to evaluate the peripheral nervous system. However, the highly operator-dependent nature and level of technical expertise required to perform an adequate US assessment of peripheral neuropathies means that appropriate training and an in-depth knowledge of anatomy and clinical findings are required. A careful US approach with thorough understanding of soft tissue planes and extensive familiarity with anatomy are prerequisites for obtaining reliable information regarding these types of examinations.


Author(s):  
Kalathummarath Sreejith ◽  
Sarita Sasidharanpillai ◽  
Kidangazhiathmana Ajithkumar ◽  
Reeba Mary Mani ◽  
Anuradha Thalian Chathoth ◽  
...  

Background: Detection of peripheral nerve thickening and nerve function impairment is crucial in the diagnosis and the management of leprosy. Aims and objectives: (1) To document the cross-sectional area, echotexture and blood flow of peripheral nerves in healthy controls and leprosy cases using high-resolution ultrasound, (2) to compare the sensitivities of clinical examination and high-resolution ultrasound in detecting peripheral nerve thickening in leprosy. Methods: Peripheral nerves of 30 leprosy patients and 30 age- and sex-matched controls were evaluated clinically and by high-resolution ultrasound. When the cross-sectional area of a peripheral nerve on high-resolution ultrasound in a leprosy patient was more than the calculated upper bound of the 95% confidence interval for mean for that specific nerve in controls, that particular peripheral nerve was considered to be enlarged. Results: Cross-sectional areas more than 7.1 mm2 for the radial nerve, 8.17 mm2 for ulnar, 10.17 mm2 for median, 9.50 mm2 for lateral popliteal and 11.21mm2 for the posterior tibial nerve were considered as nerve thickening on high-resolution ultrasound. High-resolution ultrasound detected 141/300 (47%) nerves enlarged in contrast to the 60 (20%) diagnosed clinically by palpation (P < 0.001). Clinical examination identified thickening in 31/70 (44.3%) nerves in cases with impairment of nerve function and 29/230 (12.6%) in the absence of nerve function impairment. High-resolution ultrasound detected thickening in 50/70 (71.4%) nerves with impairment of function and in 91/230 (39.6%) nerves without any impairment of function. Limitation: A single-centre study design was the major study limitation. Conclusion: High-resolution ultrasound showed greater sensitivity than clinical examination in detecting peripheral nerve thickening in leprosy cases. High-resolution ultrasound, may therefore improve the sensitivity of the diagnostic criterion of peripheral nerve enlargement in the diagnosis and classification of leprosy.


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