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婴幼儿臂丛神经损伤的MRI表现及其诊断价值

胡迪 李海天 吕忠礼 于彤 吕艳秋 段晓岷

磁共振成像2016,Vol.7Issue(4):288-291,4.
磁共振成像2016,Vol.7Issue(4):288-291,4.DOI:10.12015/issn.1674-8034.2016.04.009

婴幼儿臂丛神经损伤的MRI表现及其诊断价值

The features and diagnostic value of MRI for infant brachial plexus injury

胡迪 1李海天 2吕忠礼 2于彤 1吕艳秋 1段晓岷1

作者信息

  • 1. 首都医科大学附属北京儿童医院影像中心,北京100054
  • 2. 首都医科大学附属北京儿童医院神经康复中心,北京100054
  • 折叠

摘要

Abstract

Objective:To explore the MRI manifestations and its diagnostic value for infant brachial plexus injury. Materials and Methods:MRI manifestations and EMG of 15 infants clinical-related materials confirmed to have brachial plexus injury from November 2011 to November 2014 were retrospectively analyzed. Kappa was used to analyze the difference. Results:Seven of fifteen infants had unilateral preganglionic or/and postganglionic brachial plexus injury. Preganglionic brachial plexus injury occurred in 28 nerves and postganglionic injury occurred in 51 nerves, and 12 cases had combined injury. The manifestations of preganglionic brachial plexus injury in MRI included nerve root disappearance or enlargement, nerve root sleeve form abnormality, and meningeal cyst. Postganglionic injury MRI findings showed nerve trunk enlargement, continuity interrupt line with CSF leak, adjacent structure disorder and edema and nerve trunk sheath enlarge. There was no significant difference between MRN and EMG on extent confirm(κ=0.718, P<0.05). Conclusion:MRI is good at revealing brachial plexus injury in early time, and could be rational to the first and review examination.

关键词

臂丛神经损伤/磁共振成像/婴幼儿

Key words

Brachial plexus injury/Magnetic resonance imaging/Infant

分类

医药卫生

引用本文复制引用

胡迪,李海天,吕忠礼,于彤,吕艳秋,段晓岷..婴幼儿臂丛神经损伤的MRI表现及其诊断价值[J].磁共振成像,2016,7(4):288-291,4.

磁共振成像

OACSCDCSTPCD

1674-8034

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