Neuroimaging clinics of North America
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Neuroimaging Clin. N. Am. · Feb 2014
ReviewHigh-resolution CISS MR imaging with and without contrast for evaluation of the upper cranial nerves: segmental anatomy and selected pathologic conditions of the cisternal through extraforaminal segments.
The authors review the course and appearance of the major segments of the upper cranial nerves from their apparent origin at the brainstem through the proximal extraforaminal region, focusing on the imaging and anatomic features of particular relevance to high-resolution magnetic resonance imaging evaluation. Selected pathologic entities are included in the discussion of the corresponding cranial nerve segments for illustrative purposes.
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Peripheral nerve surgery represents a broad field of pathologic conditions, medical specialties, and anatomic regions of the body. Anatomic understanding of hierarchical nerve structure and the peripheral nervous system aids diagnosis and management of nerve lesions. ⋯ Individual or groups of nerves may be affected by various pathologic conditions, including trauma, entrapment, tumor, or iatrogenic damage. Current research efforts focus on enhancing the peripheral nerve regenerative process by targeting Schwann cells, nerve growth factors, and nerve allografts.
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Neuroimaging Clin. N. Am. · Feb 2014
ReviewPeripheral neuropathy: clinical and electrophysiological considerations.
This article is a primer on the pathophysiology and clinical evaluation of peripheral neuropathy for the radiologist. Magnetic resonance neurography has utility in the diagnosis of many focal peripheral nerve lesions. When combined with history, examination, electrophysiology, and laboratory data, future advancements in high-field magnetic resonance neurography may play an increasingly important role in the evaluation of patients with peripheral neuropathy.
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Neuroimaging Clin. N. Am. · Feb 2014
ReviewMagnetic resonance neurography of peripheral nerve tumors and tumorlike conditions.
Peripheral nerve enlargement may be seen in multiple conditions including hereditary or inflammatory neuropathies, sporadic or syndromic peripheral nerve sheath tumors, perineurioma, posttraumatic neuroma, and intraneural ganglion. Malignancies such as neurolymphoma, intraneural metastases, or sarcomas may also affect the peripheral nervous system and result in nerve enlargement. The imaging appearance and differentiating factors become especially relevant in the setting of tumor syndromes such as neurofibromatosis type 1, neurofibromatosis type 2, and schwannomatosis. This article reviews the typical magnetic resonance neurography imaging appearances of neurogenic as well as nonneurogenic neoplasms and tumorlike lesions of peripheral nerves, with emphasis on distinguishing factors.
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Neuroimaging Clin. N. Am. · Feb 2014
ReviewAnatomic considerations, nomenclature, and advanced cross-sectional imaging techniques for visualization of the cranial nerve segments by MR imaging.
Various methods of cross-sectional imaging are used for visualization of the cranial nerves, relying heavily on MR imaging. The success of the MR imaging sequences for visualization of cranial nerves depends on their anatomic context at the point of evaluation. ⋯ A variety of approaches are advocated and variations in equipment and terminology cloud the field. This article proposes a segmental classification and corresponding nomenclature for imaging evaluation of the cranial nerves and reviews technical considerations and applicable literature.