High-Resolution MRI Evaluation of Neonatal Brachial Plexus Palsy: A Promising Alternative to Traditional CT Myelography

Somashekar, Deepak K.; Yang, Lynda J.‐S.; Ibrahim, Mohannad; Parmar, Hemant

doi:10.3174/ajnr.a3820

Cited by 53 publications

(50 citation statements)

References 15 publications

(26 reference statements)

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“…Magnetic Resonance Imaging (MRI) is being used more frequently as an imaging tool since it is less invasive than a CT myelogram. 44 Somashekar et al 42 used MRI imaging in a small sample, to detect root avulsions at an overall sensitivity of 75% and specificity of 82%. Finally, non-invasive ultrasound provides information on nerve, GH joint and muscle integrity thus can aide in pre-microsurgical planning.…”

Section: Assessment: Infantmentioning

confidence: 99%

Clinical assessment of the infant and child following perinatal brachial plexus injury

Duff

DeMatteo

2015

Journal of Hand Therapy

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STUDY DESIGN Literature review INTRODUCTION After perinatal brachial plexus injury (PBPI), clinicians play an important role in injury classification as well as the assessment of recovery and secondary conditions. Early assessment guides the initial plan of care and influences follow-up and long-term outcome. PURPOSE To review methods used to assess, classify and monitor the extent and influence of PBPI with an emphasis on guidelines for clinicians. METHODS We use The International Classification of Functioning, Disability, and Health (ICF) model to provide a guide to assessment after PBPI for rehabilitation clinicians. DISCUSSION With information gained from targeted assessments, clinicians can design interventions to increase the opportunities infants and children have for optimal recovery and to attain skills that allow participation in areas of interest.

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Section: Assessment: Infantmentioning

confidence: 99%

Clinical assessment of the infant and child following perinatal brachial plexus injury

Duff

DeMatteo

2015

Journal of Hand Therapy

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“…One exception is the assessment of the cervical spine in brachial plexus injuries, when considering nerve root avulsion. CT myelography and MRI have a diagnostic accuracy of 70% to 95%, when looking for a pseudomeningocele and possible root avulsion 16. The sensitivity of detection of cervical nerve root avulsion is reported to be 93% for both MR and CT myelography 17.…”

Section: Introductionmentioning

confidence: 99%

Nerve transfers and neurotization in peripheral nerve injury, from surgery to rehabilitation

Korus

Ross

Doherty

et al. 2015

J Neurol Neurosurg Psychiatry

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Peripheral nerve injury (PNI) and recent advances in nerve reconstruction (such as neurotization with nerve transfers) have improved outcomes for patients suffering peripheral nerve trauma. The purpose of this paper is to bridge the gap between the electromyographer/clinical neurophysiologist and the peripheral nerve surgeon. Whereas the preceding literature focuses on either the basic science behind nerve injury and reconstruction, or the surgical options and algorithms, this paper demonstrates how electromyography is not just a 'decision tool' when deciding whether to operate but is also essential to all phases of PNI management including surgery and rehabilitation. The recent advances in the reconstruction and rehabilitation of PNI is demonstrated using case examples to assist the electromyographer to understand modern surgical techniques and the unique demands they ask from electrodiagnostic testing.

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“…Heavily T2-weighted, three-dimensional, constructive interference in steady-state sequence should be used to assess the thecal sac, rootlets, and the exiting nerve roots. [5]…”

Section: Discussionmentioning

confidence: 99%

Adding Value to the Magnetic Resonance Examination in a Case of Brachial Plexus Birth Palsy

Dsouza

Tandon

Gundogan

et al. 2018

Journal of Clinical Imaging Science

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We report a case of brachial plexus birth palsy in an infant with the inability to move the left upper limb since birth. There was neither history of birth trauma nor any complications during delivery. Magnetic resonance imaging (MRI) of brachial plexus showed postganglionic injury with musculoskeletal abnormalities. The child underwent surgical repair of the plexus and is on physical rehabilitation. In this case report, we discuss the utility of a single MRI examination with an elaborate discussion on various MRI signs of brachial plexus injury including secondary musculoskeletal manifestations. The case reiterates the significance of two-in-one approach while imaging these cases with MRI. Apart from reporting the damage to the brachial plexus, the radiologist should actively search for glenohumeral dysplasia. Awareness of classification and assessment of glenohumeral dysplasia should be routinely included as an integral part of imaging report as it adds incremental value to the overall patient management and functional outcome.

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High-Resolution MRI Evaluation of Neonatal Brachial Plexus Palsy: A Promising Alternative to Traditional CT Myelography

Cited by 53 publications

References 15 publications

Clinical assessment of the infant and child following perinatal brachial plexus injury

Clinical assessment of the infant and child following perinatal brachial plexus injury

Nerve transfers and neurotization in peripheral nerve injury, from surgery to rehabilitation

Adding Value to the Magnetic Resonance Examination in a Case of Brachial Plexus Birth Palsy

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