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Nerve Ultrasound in the Assessment of Polyneuropathies
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다발신경병 진단에서 신경초음파검사

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Type
Academic journal
Author
Journal
Electrodiagnostic Medicine 대한근전도 전기진단의학회지 대한근전도 전기진단의학회지 제21권 제1호 KCI Accredited Journals
Published
2019.1
Pages
1 - 6 (6page)

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Nerve Ultrasound in the Assessment of Polyneuropathies
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Abstract· Keywords

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High-resolution ultrasonography (HRUS) is a diagnostic tool that is increasingly used in the work-up of peripheral nerve disease. As many peripheral nerves run a superficial course, they can be studied over a long tract, especially in the arms. This is a big advantage over magnetic resonance imaging (MRI) when multiple nerves have to be studied, as MRI is relatively expensive, time consuming and not readily available everywhere. Furthermore, different aspects of nerve morphology can be studied with HRUS. Nerve cross-sectional area (CSA) can be determined at multiple sites along the nerve. CSA can be measured at entrapment sites (e.g. the carpal tunnel, cubital tunnel, Guyon’s canal and the fibular head), but also at non-entrapment sites. Apart from nerve CSA, vascularization, echogenicity, fascicular pattern and endoneurial thickness can be investigated as well. All those modalities can give critical insight in the origin and development of various peripheral neuropathies.

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References (43)

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Beekman R / 2003 / Visser LH : Sonography in the diagnosis of carpal tunnel syndrome : a critical review of the literature / Muscle Nerve 27:26~33 google schola Beekman R / 2004 / High-resolution sonography of the peripheral nervous system–a review of the literature / Eur J Neurol 11:305~314 google schola Beekman R / 2011 / Ultrasonography in ulnar neuropathy at the elbow: a critical review / Muscle Nerve 43:627~635 google schola Allen JA / 2015 / Lewis RA : CIDP diagnostic pitfalls and perception of treatment benefit / Neurology 85:498~504 google schola Zaidman CM / 2009 / Peripheral nerve size in normals and patients with polyneuropathy: an ultrasound study / Muscle Nerve 40:960~966 google schola

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