Chang Ke-Vin, Lin Chih-Peng, Hung Chen-Yu, Özçakar Levent, Wang Tyng-Guey, Chen Wen-Shiang
From the Department of Physical Medicine and Rehabilitation and Community and Geriatric Research Center, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan (K-VC, C-YH); National Taiwan University College of Medicine, Taipei, Taiwan (K-VC, C-PL, T-GW, W-SC); Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan (C-PL); Department of Physical Medicine and Rehabilitation, Hacettepe University Medical School, Ankara, Turkey (LÖ); and Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan (T-GW, W-SC).
Am J Phys Med Rehabil. 2016 Nov;95(11):862-870. doi: 10.1097/PHM.0000000000000557.
Imaging of the nerves in the cervical region is more complicated than those of the extremities. Although high-resolution ultrasound enables the depiction of peripheral nerves' morphology and their associations with the adjacent soft tissues, precise identification of the nerves in the neck is still challenging. Familiarization with the cervical nerve tracking techniques can help interventional physiatrists explore/treat relevant entrapment syndromes, so does guiding proper electrode placement during nerve conduction studies. The present article integrates serial ultrasound images and videos to demonstrate how to scan brachial plexus, superficial cervical plexus, cranial nerves in the neck region, and certain branches of the major cervical nerves.
颈部神经的成像比四肢神经更为复杂。尽管高分辨率超声能够显示周围神经的形态及其与相邻软组织的关系，但准确识别颈部的神经仍然具有挑战性。熟悉颈部神经追踪技术有助于介入物理治疗师探索/治疗相关的卡压综合征，在神经传导研究中指导正确放置电极也是如此。本文整合了系列超声图像和视频，以演示如何扫描臂丛神经、颈浅丛神经、颈部区域的颅神经以及主要颈神经的某些分支。
