Servicio de Radiodiagnóstico, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Servicio de Radiodiagnóstico, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Radiologia (Engl Ed). 2022 Mar-Apr;64(2):145-155. doi: 10.1016/j.rxeng.2022.01.001.
Distal nerve degeneration refers to the process of disintegration of a neuron or neuronal circuit as a consequence of distal damage. The end result of multiple etiologies, this finding is becoming common due to the increasing number of imaging tests done. This paper aims to define the different types of distal nerve damage, review the anatomy and function of the most commonly affected tracts, and illustrate distal nerve damage through diagrams and representative cases from routine practice.
Knowing the distant response that can be expected according to the topography of a neuronal lesion is crucial to avoid diagnostic errors. Axonal degeneration and transsynaptic degeneration can be both antegrade and retrograde. Studies of cerebral metabolism, perfusion sequences, and diffusion sequences are showing increasingly earlier changes related to the same process; radiologists need to be aware of these changes.
远侧神经变性是指神经元或神经元回路由于远侧损伤而解体的过程。由于进行的影像学检查越来越多,这种由多种病因引起的最终结果变得越来越常见。本文旨在定义不同类型的远侧神经损伤,回顾最常受影响的束的解剖结构和功能,并通过常规实践中的图表和代表性病例说明远侧神经损伤。
根据神经元病变的部位了解可能出现的远侧反应对于避免诊断错误至关重要。轴突变性和突触前变性既可以是顺行的也可以是逆行的。有关相同过程的大脑代谢、灌注序列和弥散序列的研究显示出越来越早的变化;放射科医生需要了解这些变化。