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Two-dimensional magnetic resonance neurography in neurotmesis of the left sciatic nerve A case report

摘要Magnetic resonance neurography (MRN) is used to determine traumatic changes within nervous trunks. A 21-year-old male was treated for neurotmesis of the left sciatic nerve. At 41 days after micro-neurosurgery, two-dimensional MRN (2-D MRN) was performed with plain and contrast scans in the left injured sciatic nerve. More than 2 years after trauma, 2-D MRN images were collected to re-examine the left sciatic nerve. Results from the first 2-D MRN examination revealed a swollen left sciatic nerve. Furthermore, T1WI revealed a local nodule with slightly high intensity, and T2WI revealed hyperintensity. The nodule was significantly enhanced. Upon 2-D MRN re-examination more than 2 years after injury, the injured left sciatic nerve trunk was thinner,and the nodule margin in the left sciatic trunk was clearer. The supero-inferior diameter was enlarged by 2 mm compared with previous films. The degree of enhancement became weaker in the nodule. 2-D MRN revealed continuity, traumatic neuroma, and atrophy of the injured sciatic nerves in detail. Thin-slice technique was crucial for this method, as well as fat-suppressed and blood flow-suppressed imaging.

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作者单位 Department of Gamma Knife, Second Affiliated Hospital, Guangzhou Medical University, Guangzhou 510260, Guangdong Province, China [1]
分类号 R74
DOI 10.3969/j.issn.1673-5374.2010.14.014
发布时间 2010-09-30
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中国神经再生研究(英文版)

中国神经再生研究(英文版)

2010年05卷14期

1113-1116页

SCIMEDLINEISTICCSCDCABP

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