NetForum uses cookies to ensure that we give you the best experience on our website. If you continue to use the site, we'll assume that you are happy to receive these cookies on the NetForum website. Read about our cookies.
NetForum Community
Learn. Share. Optimize.
Log in | Sign up now | Submit content | Contact

Attention valued NetForum members:

Due to evolving technology needs and global privacy regulations, we have made the hard decision to suspend the NetForum User Community platform on Friday, November 29, 2019.

After this date, the current NetForum can no longer be reached. Please click here for more information about this decision, what happens next and how to stay in touch with us about the future of the community.

Go to similar content

MR neurography of radial nerve fascicle torsion

Case Study
Wang, Guangbin, M.D., Ph.D. Shandong Medical Imaging Reseach Institute • China, People's Republic of

Patient history

A 23-year-old male miner presented with left hand paralysis for three 3 days. Ultrasound showed an hourglassshaped appearance in the radial nerve fascicle. He underwent MRI neurography (MRN) at Shandong Medical Imaging Research Institute, China.

MR examination

The patiënt was examined on Achieva 3.0T TX with SENSE Flex L coil, patient in head-first position, scan time 3:54 min.

 

Images

Click on an image to enlarge.
Paralysis of hand Ultrasound
Paralysis of hand
Ultrasound
 
Ultrasound shows one hourglassshaped appearance in the radial nerve fascicle.
  
T2W SPAIR DWIBS
T2W SPAIR
DWIBS
 
Coronal T2-weighted SPAIR MRI shows multi-segmental hypointensities. DWIBS demonstrates three segmental hypointensity lesions on the left radial nerve fascicle.
  
Intraoperative Intraoperative
Intraoperative
Intraoperative


 
Intraoperative photographs shows three segmental hourglass-shaped lesions on the left radial nerve, correspondings to the DWIBS findings.

Diagnosis

Pathological diagnosis is left radial nerve fascicle torsion.

Clinical impact of MR neurography

In this case ultrasound cannot demonstrate the exact position of the lesion. However, after an MR neurography, the lesion’s position and shape can be demonstrated which can help determine the type of lesion and can be of support for surgery.

Related reading:

 
  
  

Results from case studies are not predictive of results in other cases. Results in other cases may vary.



This content has been made possible by NetForum Community.
Share this on: Share your link in twitter Share your link in facebook Share your link on LinkedIn Print Rate this article: Log in to vote

 
Rating:
Votes:
2
Views:
653
Added:
Feb 12, 2015

Rate this:
Log in to vote
 

Case Study
Achieva 3.0T TX
DWIBS, Hand, MR neurography, Neuro, radial
 

Clinical News
Best Practices
Case Studies
Publications and Abstracts
White Papers
Web seminars and Presentations
ExamCards
Protocols
Application Tips and FAQ
Training
Try an Application
Business News
Case Studies
White Papers
Web Seminars and Presentations
Utilization Services
Contributing Professionals
Contributing Institutions
Become a Contributor