High resolution ultrasonography of peripheral nerves in diabetic peripheral neuropathy

The article contains the review of literature data dedicated to the most common complication associated with diabetes mellitus (DM) - the diabetic peripheral neuropathy (DPN). DPN is regarded as economic burden for any state and significantly influences the quality of patient’s life. DPN is characterized by progressive degeneration of peripheral nerves that leads to pain syndrome, movement disorders and loss of sensation. There is a set of theories of development of DPN, but the major etiological factor is the chronic hyperglycemia. The article describes pathophysiologic mechanisms of DPN development. It is noted that considering high variability of clinical pattern DPN has no unified classification. The article addresses issues related to diagnostics and criteria of establishing the diagnosis. Special attention of the article is dedicated to pathogenic and expected treatment methods.

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High-Resolution Ultrasonography of Peripheral Nerves: Measurements on 14 Nerve Segments in 56 Healthy Subjects and Reliability Assessments

Ultraschall in der Medizin - European Journal of Ultrasound ◽

10.1055/s-0033-1356385 ◽

2014 ◽

Vol 35 (05) ◽

pp. 459-467 ◽

Cited By ~ 47

Author(s):

J. Boehm ◽

E. Scheidl ◽

D. Bereczki ◽

T. Schelle ◽

Z. Arányi

Keyword(s):

High Resolution ◽

Peripheral Nerves ◽

Healthy Subjects ◽

Reliability Assessments ◽

High Resolution Ultrasonography

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High-resolution ultrasonography in evaluating peripheral nerve entrapment and trauma

Neurosurgical FOCUS ◽

10.3171/foc.2009.26.2.e13 ◽

2009 ◽

Vol 26 (2) ◽

pp. E13 ◽

Cited By ~ 78

Author(s):

Ralph W. Koenig ◽

Maria T. Pedro ◽

Christian P. G. Heinen ◽

Thomas Schmidt ◽

Hans-Peter Richter ◽

...

Keyword(s):

High Resolution ◽

Peripheral Nerve ◽

Peripheral Nerves ◽

Imaging Modality ◽

Nerve Entrapment ◽

Nerve Lesions ◽

Peripheral Nerve Lesions ◽

Continuous Progress ◽

Number Of Publications ◽

High Resolution Ultrasonography

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.

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