Magnetic resonance neurography （MRN） is used to determine traumatic changes within nervous trunks. A 21-year-old male was treated for neurotmesis of the left sciatic nerve. At 41 days after micro-neurosurgery, two-d...Magnetic resonance neurography （MRN） is used to determine traumatic changes within nervous trunks. A 21-year-old male was treated for neurotmesis of the left sciatic nerve. At 41 days after micro-neurosurgery, two-dimensional MRN （2-D MRN） was performed with plain and contrast scans in the left injured sciatic nerve. More than 2 years after trauma, 2-D MRN images were collected to re-examine the left sciatic nerve. Results from the first 2-D MRN examination revealed a swollen left sciatic nerve. Furthermore, TlWl revealed a local nodule with slightly high intensity, and T2WI revealed hyperintensity. The nodule was significantly enhanced. Upon 2-D MRN re-examination more than 2 years after injury, the injured left sciatic nerve trunk was thinner, and the nodule margin in the left sciatic trunk was clearer. The supero-inferior diameter was enlarged by 2 mm compared with previous films. The degree of enhancement became weaker in the nodule. 2-D MRN revealed continuity, traumatic neuroma, and atrophy of the injured sciatic nerves in detail. Thin-slice technique was crucial for this method, as well as fat-suppressed and blood flow-suppressed imaging.展开更多
文摘Magnetic resonance neurography （MRN） is used to determine traumatic changes within nervous trunks. A 21-year-old male was treated for neurotmesis of the left sciatic nerve. At 41 days after micro-neurosurgery, two-dimensional MRN （2-D MRN） was performed with plain and contrast scans in the left injured sciatic nerve. More than 2 years after trauma, 2-D MRN images were collected to re-examine the left sciatic nerve. Results from the first 2-D MRN examination revealed a swollen left sciatic nerve. Furthermore, TlWl revealed a local nodule with slightly high intensity, and T2WI revealed hyperintensity. The nodule was significantly enhanced. Upon 2-D MRN re-examination more than 2 years after injury, the injured left sciatic nerve trunk was thinner, and the nodule margin in the left sciatic trunk was clearer. The supero-inferior diameter was enlarged by 2 mm compared with previous films. The degree of enhancement became weaker in the nodule. 2-D MRN revealed continuity, traumatic neuroma, and atrophy of the injured sciatic nerves in detail. Thin-slice technique was crucial for this method, as well as fat-suppressed and blood flow-suppressed imaging.
