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分娩创伤后婴儿臂丛神经病变:磁共振成像评估

Brachial plexopathy in infants after traumatic delivery: evaluation with MR imaging.

作者信息

Miller S F, Glasier C M, Griebel M L, Boop F A

机构信息

Department of Radiology, University of Arkansas for Medical Sciences, Little Rock.

出版信息

Radiology. 1993 Nov;189(2):481-4. doi: 10.1148/radiology.189.2.8210376.

DOI:10.1148/radiology.189.2.8210376
PMID:8210376
Abstract

PURPOSE

To determine the value of magnetic resonance (MR) imaging in diagnosing traumatic pseudomeningocele.

MATERIAL AND METHODS

Five newborn infants with brachial plexopathy secondary to traumatic delivery underwent MR imaging of the spine and serial neurologic examinations, and the findings were compared.

RESULTS

Cervical MR images showed focal collections of cerebrospinal fluid lateral to the spinal cord and extending into the neural foramina. These were believed to represent pseudomeningoceles in four infants, all of whom have persistent major neurologic deficits. The infant with normal cervical MR images has had nearly complete spontaneous recovery.

CONCLUSION

Spinal MR images can show pseudomeningoceles, which have been associated with partial or complete nerve root avulsion in infants with birth-related brachial plexopathy.

摘要

目的

确定磁共振(MR)成像在诊断创伤性假性脑脊膜膨出中的价值。

材料与方法

对5例因分娩创伤继发臂丛神经病变的新生儿进行脊柱MR成像及系列神经学检查,并对结果进行比较。

结果

颈椎MR图像显示脊髓外侧有局灶性脑脊液聚集,并延伸至神经孔。其中4例婴儿的这些表现被认为代表假性脑脊膜膨出,所有这些婴儿均有持续性严重神经功能缺损。颈椎MR图像正常的婴儿已几乎完全自发恢复。

结论

脊柱MR图像可显示假性脑脊膜膨出,其与出生相关臂丛神经病变婴儿的部分或完全神经根撕脱有关。

相似文献

1
Brachial plexopathy in infants after traumatic delivery: evaluation with MR imaging.分娩创伤后婴儿臂丛神经病变:磁共振成像评估
Radiology. 1993 Nov;189(2):481-4. doi: 10.1148/radiology.189.2.8210376.
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Diagnostic performance of MRI and MR myelography in infants with a brachial plexus birth injury.MRI及磁共振脊髓造影对臂丛神经产伤婴儿的诊断效能
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Spinal cord herniation into associated pseudomeningocele after brachial plexus avulsion injury: case report.臂丛神经撕脱伤后脊髓疝入相关假性脑脊膜膨出:病例报告
Neurosurgery. 2007 Jan;60(1):E205; discussion E205. doi: 10.1227/01.NEU.0000249195.76527.61.

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