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[神经压迫综合征的诊断影像学]

[Diagnostic imaging of nerve compression syndrome].

作者信息

Weishaupt D, Andreisek G

机构信息

Institut für Diagnostische Radiologie, Universitätsspital, Rämistrasse 100, 8091 Zürich, Schweiz.

出版信息

Radiologe. 2007 Mar;47(3):231-9. doi: 10.1007/s00117-006-1434-z.

Abstract

Compression-induced neuropathy of peripheral nerves can cause severe pain of the foot and ankle. Early diagnosis is important to institute prompt treatment and to minimize potential injury. Although clinical examination combined with electrophysiological studies remain the cornerstone of the diagnostic work-up, in certain cases, imaging may provide key information with regard to the exact anatomic location of the lesion or aid in narrowing the differential diagnosis. In other patients with peripheral neuropathies of the foot and ankle, imaging may establish the etiology of the condition and provide information crucial for management and/or surgical planning. MR imaging and ultrasound provide direct visualization of the nerve and surrounding abnormalities. Bony abnormalities contributing to nerve compression are best assessed by radiographs and CT. Knowledge of the anatomy, the etiology, typical clinical findings, and imaging features of peripheral neuropathies affecting the peripheral nerves of the foot and ankle will allow for a more confident diagnosis.

摘要

周围神经的压迫性神经病可导致足踝部剧痛。早期诊断对于及时开展治疗并将潜在损伤降至最低至关重要。尽管临床检查结合电生理研究仍是诊断检查的基石,但在某些情况下,影像学检查可能会提供有关病变确切解剖位置的关键信息,或有助于缩小鉴别诊断范围。对于其他患有足踝部周围神经病的患者,影像学检查可能会明确病情的病因,并提供对管理和/或手术规划至关重要的信息。磁共振成像(MR成像)和超声可直接显示神经及周围异常情况。导致神经受压的骨异常情况最好通过X线片和CT进行评估。了解影响足踝部周围神经的周围神经病的解剖结构、病因、典型临床表现及影像学特征,将有助于做出更可靠的诊断。

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