Sonographic diagnosis of tuberculoid leprosy.

Fornage, Bruno D.; Nérot, C.

doi:10.7863/jum.1987.6.2.105

Cited by 24 publications

(9 citation statements)

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“…Currently there are only five studies available on the sonographic findings in leprosy (evaluating a total of 111 subjects). Fornage and Nerot only described a few patients with sonographically enlarged nerves . Martinoli et al .…”

Section: Resultsmentioning

confidence: 99%

High resolution sonography in the evaluation of the peripheral nervous system in polyneuropathy – a review of the literature

Goedee

Brekelmans

Asseldonk

et al. 2013

Euro J of Neurology

111

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Clinical, laboratory and electrodiagnostic studies are the mainstay in the diagnosis of polyneuropathy. An accurate etiological diagnosis is of paramount importance to provide the appropriate treatment, prognosis and genetic counselling. High resolution sonography of the peripheral nervous system allows nerves to be readily visualized and to assess their morphology. Ultrasonography has brought pathophysiological insights and substantially added to diagnostic accuracy and treatment decisions amongst mononeuropathies. In this study the literature on its clinical application in polyneuropathy is reviewed. Several polyneuropathies have been studied by means of ultrasound: Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies, chronic inflammatory demyelinating polyneuropathy, Guillain-Barré syndrome, multifocal motor neuropathy, paraneoplastic polyneuropathy, leprosy and diabetic neuropathy. The most prominent reported pathological changes were nerve enlargement, increased hypo-echogenicity and increased intraneural vascularization. Sonography revealed intriguingly different patterns of nerve enlargement between inflammatory neuropathies and axonal and inherited polyneuropathies. However, many studies concerned case reports or case series and showed methodological shortcomings. Further prospective studies with standardized protocols for nerve sonography and clinical and electrodiagnostic testing are needed to determine the role of nerve sonography in inherited and acquired polyneuropathies.

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Section: Resultsmentioning

confidence: 99%

High resolution sonography in the evaluation of the peripheral nervous system in polyneuropathy – a review of the literature

Goedee

Brekelmans

Asseldonk

et al. 2013

Euro J of Neurology

111

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“…21,22 Focal ulnar nerve thickening was the main sonographic feature and occurred in 90.5% of patients, which is in agreement with previously reported studies. 10,11 Ulnar nerve thickening as evaluated by sonography showed a tendency to be more severe in the area above the medial epicondyle. The MaxCSA of the ulnar nerve was the best measurement discriminator for leprosy ulnar neuropathy diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…The main objectives of all leprosy health programs are to stop transmission and prevent impairment, disability, and deformity related to nerve damage by identifying patients who are in the early stage of neural involvement for treatment. Neurophysiology [6][7][8] and, to a lesser extent, imaging [9][10][11] have been applied to survey, qualify, and estimate nerve damage in leprosy. However, to the best of our knowledge, those features have not been analyzed together.…”

mentioning

confidence: 99%

Role of Ulnar Nerve Sonography in Leprosy Neuropathy With Electrophysiologic Correlation

Elías

Nogueira-Barbosa

Feltrin

et al. 2009

Journal of Ultrasound in Medicine

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“…Although leprosy is probably the most prevalent peripheral neuropathy worldwide, there are only two studies available on the sonographic findings in leprosy (Fornage and Nerot, 1987; Martinoli et al. , 2000).…”

Section: Leprosymentioning

confidence: 99%

High‐resolution sonography of the peripheral nervous system – a review of the literature

Beekman

Visser

2004

Euro J of Neurology

176

112

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High-resolution sonography is capable of depicting peripheral nerves and the brachial plexus. In this study we review the literature on this subject. Normal peripheral nerves have a characteristic echotexture. Most nerves are readily visualized, although this is not always the case with the nerves of the lower extremity. The main pathological changes that can be demonstrated are nerve enlargement and increased hypoechogenicity. In order to demonstrate nerve enlargement, measurements should be performed and compared with a set of reference values. Several neuropathies have been studied by means of ultrasonography. However, many studies concern case reports and show methodological shortcomings. The best studied peripheral neuropathy is the carpal tunnel syndrome in which ultrasonography seems to have an additional value when combined with nerve conduction studies. Nerve enlargement has also been demonstrated in radial neuropathy at the humerus and in ulnar neuropathy at the elbow. The role of sonography in various hereditary and inflammatory neuropathies is uncertain although diffuse nerve thickening could be demonstrated. Further systematic studies are needed to determine the role of sonography in the diagnostic process of the various neuropathies. It would be important to study the subcategories of patients in whom electrodiagnostic studies are normal or show equivocal findings.

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Sonographic diagnosis of tuberculoid leprosy.

Cited by 24 publications

References 0 publications

High resolution sonography in the evaluation of the peripheral nervous system in polyneuropathy – a review of the literature

High resolution sonography in the evaluation of the peripheral nervous system in polyneuropathy – a review of the literature

Role of Ulnar Nerve Sonography in Leprosy Neuropathy With Electrophysiologic Correlation

High‐resolution sonography of the peripheral nervous system – a review of the literature

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