Forterre F, Gutmannsbauer B, Schmahl W, Matis U
Chirurgischen Tierklinik, Lehrstuhl für Allgemeine und Spezielle Chirurgie einschliesslich Augenkrankheiten, Ludwig-Maximilians-Universität München.
Tierarztl Prax Ausg K Kleintiere Heimtiere. 1998 Sep;26(5):322-9.
Avulsion of nerve roots of the brachial plexus can be diagnosed clinically, neurologically, radiographically and by electromyography. But like the myelography these techniques are inprecise for determination of the severity (partial or complete disruption) and the localization of the lesion. In human medicine the combination of computerized tomography with myelography shows high accuracy. Veterinary reports of experience in this field are not yet known. The aim of the present study was to demonstrate nerve root avulsions using myelography and computerized tomography. Three dogs and one cat with traumatic lesions of the brachial plexus were examined. The lesion could be seen in all patients. Thus CT-myelography results in an improved prognostic assessment of brachial plexus paralysis. Moreover, this technique could become one of the most important diagnostic methods for brachial plexus lesions involving nerve root reinsertion--neurotizations in veterinary medicine.
臂丛神经根撕脱伤可通过临床、神经学、影像学及肌电图检查进行诊断。但与脊髓造影一样,这些技术在确定损伤的严重程度(部分或完全断裂)及损伤部位时并不精确。在人类医学中,计算机断层扫描与脊髓造影相结合显示出很高的准确性。目前尚未见该领域兽医方面的经验报道。本研究的目的是利用脊髓造影和计算机断层扫描来显示神经根撕脱伤。对3只患有臂丛神经创伤性损伤的犬和1只猫进行了检查。所有病例均能看到损伤情况。因此,CT脊髓造影可改善臂丛神经麻痹的预后评估。此外,这项技术可能会成为兽医学中涉及神经根再植——神经移植的臂丛神经损伤最重要的诊断方法之一。