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上肢压迫性和卡压性神经病变的诊断:磁共振成像的价值

Diagnosis of compressive and entrapment neuropathies of the upper extremity: value of MR imaging.

作者信息

Beltran J, Rosenberg Z S

机构信息

Department of Radiology, Hospital for Joint Diseases Orthopaedic Institute, New York, NY 10003.

出版信息

AJR Am J Roentgenol. 1994 Sep;163(3):525-31. doi: 10.2214/ajr.163.3.8079837.

Abstract

Compressive and entrapment neuropathies (CENs) are relatively common clinical syndromes characterized by neurologic manifestations caused by mechanical or dynamic compression of peripheral nerves. Radiologists are often required to evaluate CENs primarily to rule out soft-tissue lesions as a potential cause of the syndrome. MR imaging has become the best technique for accurate delineation of soft-tissue lesions, and it is ideally suited for the assessment of CEN. Although many CENs of the upper extremity have been described in the clinical literature, only a few of them have received attention in radiologic publications. This review focuses on the most common CENs involving the upper extremity, with special emphasis on the MR manifestations.

摘要

压迫性和卡压性神经病(CENs)是相对常见的临床综合征,其特征为由周围神经的机械性或动态压迫引起的神经学表现。放射科医生常常需要对CENs进行评估,主要是为了排除软组织病变作为该综合征的潜在病因。磁共振成像(MR成像)已成为准确描绘软组织病变的最佳技术,并且它非常适合评估CEN。尽管临床文献中已描述了许多上肢的CEN,但其中只有少数在放射学出版物中受到关注。本综述聚焦于累及上肢的最常见CEN,特别强调其MR表现。

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