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Ebook Neuroradiology companion - Methods, guidelines, and imaging fundamentals (5/E): Part 2

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Nội dung chi tiết: Ebook Neuroradiology companion - Methods, guidelines, and imaging fundamentals (5/E): Part 2

Ebook Neuroradiology companion - Methods, guidelines, and imaging fundamentals (5/E): Part 2

SECTION u SPINALIMAGING974CHAPTER 20Brachial PlexusInflammatory and Infectious PlexitisKey FactsViral and idiopathic plexitis:•These are predominantly

Ebook Neuroradiology companion - Methods, guidelines, and imaging fundamentals (5/E): Part 2y sensory and have an insidious onset.•Most patients are between 30 and 70 years of age (uncommon in the very young).•Most resolve spontaneously in 8

to 12 weeks after their onset.•Other causes include: drug reaction (allergic), post viral (autoimmune), due to a vasculitis and a heredofamilial type. Ebook Neuroradiology companion - Methods, guidelines, and imaging fundamentals (5/E): Part 2

•Main differential diagnosis: perineural tumor spread, post radiation changes, stretching injury, hypertrophic polyneuropathy, lymphoma, chronic infla

Ebook Neuroradiology companion - Methods, guidelines, and imaging fundamentals (5/E): Part 2

mmatory7 demyelinating polyneuropathy, thoracic outlet syndrome.Radialion-induced plexitis:•Generally occurs with doses >6,000 cGy•In the acute type,

SECTION u SPINALIMAGING974CHAPTER 20Brachial PlexusInflammatory and Infectious PlexitisKey FactsViral and idiopathic plexitis:•These are predominantly

Ebook Neuroradiology companion - Methods, guidelines, and imaging fundamentals (5/E): Part 2ment), symptoms are transient and usually reversible.•Most radiation-induced plexopathies are predominantly sensory.•Diffuse thickening and enhancemen

t of the brachial plexus may be indistinguishable from metastases and follow up is needed to rule out975progression, viral plexitis and chronic inflam Ebook Neuroradiology companion - Methods, guidelines, and imaging fundamentals (5/E): Part 2

matory' demyelinating polyneuropathy may have a similar appearance.FIGURE 20-1. Coronal fat suppressed T2 shows thickening and increased signal in the

Ebook Neuroradiology companion - Methods, guidelines, and imaging fundamentals (5/E): Part 2

roots and trunks of the left brachial plexus due to a herpes zoster infection.976FIGURE 20-2. Coronal fat suppressed T2, in a different patient, show

SECTION u SPINALIMAGING974CHAPTER 20Brachial PlexusInflammatory and Infectious PlexitisKey FactsViral and idiopathic plexitis:•These are predominantly

Ebook Neuroradiology companion - Methods, guidelines, and imaging fundamentals (5/E): Part 2ppressed T2 in a different patient with diffuse (presumably drug-induced) plexopathy shows diffuse thickening and increased signal in the brachial ple

xus bilaterally.978FIGURE 20-4. Coronal post contrast T1 shows increased signal intensity from the left infraclavicular brachial plexus (arrow) in a p Ebook Neuroradiology companion - Methods, guidelines, and imaging fundamentals (5/E): Part 2

atient post ipsilateral mastectomy and radiation therapy.FIGURE 20-5. Corresponding coronal fat suppressed T2 shows increased signal (arrow) in the ab

Ebook Neuroradiology companion - Methods, guidelines, and imaging fundamentals (5/E): Part 2

normal brachial plexus.SUGGESTED READINGSChhabra A, Thawait GK. Soldatos T, et al. High-resolution 3T MR neurography of (he brachial plexus and its br

SECTION u SPINALIMAGING974CHAPTER 20Brachial PlexusInflammatory and Infectious PlexitisKey FactsViral and idiopathic plexitis:•These are predominantly

Ebook Neuroradiology companion - Methods, guidelines, and imaging fundamentals (5/E): Part 2tic and nontraumatic causes. AJR Am J Roentgenol 2014;202:W67-W75.Traumatic Brachial Plexus Injuries

SECTION u SPINALIMAGING974CHAPTER 20Brachial PlexusInflammatory and Infectious PlexitisKey FactsViral and idiopathic plexitis:•These are predominantly

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