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J Reconstr Microsurg 2012; 28(04): 263-266
DOI: 10.1055/s-0032-1306377
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Advanced MR Neurography Imaging of Radial Nerve Entrapment at the Spiral Groove: A Case Report

Avneesh Chhabra
1   Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, Maryland
,
Gene E. Deune
1   Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, Maryland
,
Emi Murano
1   Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, Maryland
,
Jerry L. Prince
1   Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, Maryland
,
Theodoros Soldatos
1   Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, Maryland
,
Aaron Flammang
1   Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, Maryland
› Author Affiliations
Further Information

Publication History

23 October 2011

09 November 2011

Publication Date:
07 March 2012 (online)

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Abstract

High-resolution magnetic resonance neurography (MRN) is being increasingly employed for the evaluation of peripheral nerves. We describe a case of spiral groove syndrome (Saturday night palsy) and illustrate the role of advanced 3 Tesla MRN imaging techniques, including three-dimensional diffusion-weighted fat-suppressed reversed fast imaging with steady-state precession and diffusion tensor imaging.

Keywords

radial nerve entrapment - spiral groove syndrome - magnetic resonance neurography
 

  • References

  • 1 Artico M, Telera S, Tiengo C , et al. Surgical anatomy of the radial nerve at the elbow. Surg Radiol Anat 2009; 31 (2) 101-106
    CrossrefPubMedGoogle Scholar
  • 2 Bodner G, Buchberger W, Schocke M , et al. Radial nerve palsy associated with humeral shaft fracture: evaluation with US—initial experience. Radiology 2001; 219 (3) 811-816
    CrossrefPubMedGoogle Scholar
  • 3 Hash TW, Bogner EA. Nerve entrapment and compression syndromes of the elbow. Semin Musculoskelet Radiol 2010; 14 (4) 438-448
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Tubbs RS, Apaydin N, Uz A , et al. Anatomy of the lateral intermuscular septum of the arm and its relationships to the radial nerve and its proximal branches. Laboratory investigation. J Neurosurg 2009; 111 (2) 336-339
    PubMedGoogle Scholar
  • 5 Escolar DM, Jones Jr HR. Pediatric radial mononeuropathies: a clinical and electromyographic study of sixteen children with review of the literature. Muscle Nerve 1996; 19 (7) 876-883
    CrossrefPubMedGoogle Scholar
  • 6 Chesser TJ, Leslie IJ. Radial nerve entrapment by the lateral intermuscular septum after trauma. J Orthop Trauma 2000; 14 (1) 65-66
    CrossrefPubMedGoogle Scholar
  • 7 Zhang Z, Meng Q, Chen Y , et al. 3-T imaging of the cranial nerves using three-dimensional reversed FISP with diffusion-weighted MR sequence. J Magn Reson Imaging 2008; 27 (3) 454-458
    CrossrefPubMedGoogle Scholar
  • 8 Takagi T, Nakamura M, Yamada M , et al. Visualization of peripheral nerve degeneration and regeneration: monitoring with diffusion tensor tractography. Neuroimage 2009; 44 (3) 884-892
    CrossrefPubMedGoogle Scholar
  • 9 Khalil C, Hancart C, Le Thuc V, Chantelot C, Chechin D, Cotten A. Diffusion tensor imaging and tractography of the median nerve in carpal tunnel syndrome: preliminary results. Eur Radiol 2008; 18 (10) 2283-2291
    CrossrefPubMedGoogle Scholar
  • 10 Lehmann HC, Zhang J, Mori S, Sheikh KA. Diffusion tensor imaging to assess axonal regeneration in peripheral nerves. Exp Neurol 2010; 223 (1) 238-244
    CrossrefPubMedGoogle Scholar
  • 11 Jambawalikar S, Baum J, Button T, Li H, Geronimo V, Gould ES. Diffusion tensor imaging of peripheral nerves. Skeletal Radiol 2010; 39 (11) 1073-1079
    CrossrefPubMedGoogle Scholar