Pierallini A, Bastianello S, Antonini G, Giuliani S, Artico M, Nucci F, Millefiorini M, Fantozzi L M, Bozzao L
University of Rome La Sapienza, Department of Neurological Sciences, Italy.
Zentralbl Neurochir. 1993;54(2):66-71.
Thirty-six patients with a peripheral localized nerve lesion (18 of median nerve, 7 of ulnar nerve, 2 of radial nerve, 1 of lateral cutaneous brachii nerve, 1 of sciatic nerve, 5 of peroneal nerve and 2 of tibial nerve), were evaluated by Computed Tomography (CT). We used a high resolution scanner (Siemens Somatom CR) and we performed 2mm thickness slices. Sagittal and coronal reconstructed images were obtained too. Thirty-two out of 36 patients underwent surgery. CT scan was useful in all cases in defining the relationship between nerve lesions and surrounding tissues and in planning surgical procedures. The CT evaluation of tissues densities and characteristics allowed us to define the pathologic nature of the lesions in 10 cases.
36例患有周围局限性神经病变的患者(正中神经18例、尺神经7例、桡神经2例、臂外侧皮神经1例、坐骨神经1例、腓总神经5例和胫神经2例)接受了计算机断层扫描(CT)评估。我们使用了一台高分辨率扫描仪(西门子Somatom CR),并进行了厚度为2毫米的切片扫描。还获得了矢状位和冠状位重建图像。36例患者中有32例接受了手术。CT扫描在所有病例中都有助于确定神经病变与周围组织之间的关系,并有助于制定手术方案。对组织密度和特征的CT评估使我们能够在10例病例中确定病变的病理性质。