The role of MR Myelogram in diagnosing traumatic pseudomeningocele
Abstract
Background: Traumatic pseudomeningocele is a valuable indicator of nerve root injury. Secondary to trauma, the traction forces firstly tear meninges and later if the traction forces are great enough, nerve root avulsions occur. In this article we aimed to show pseudomeningoceles localized at the level of brachial and lumbar plexus secondary to nerve root injury.
Methods: We retrospectively reviewed the patients who admitted to our hospital between 2009 and 2011 due to various accidents. After clinical and radiological examinations, spinal root injuries were detected in six patients at different levels.
Result: Brachial plexopathy was detected in four patients and lumbosacral plexopathy was detected in two patients.
Conclusion: Pseudomeningocele is a valuable indicator of nerve root injury. It occurs after dural torn like pouch. MR and MR myelography is the best imaging modality to indicate its’ pouch and cerebrospinal fluid (CSF) within it. MR and MR myelography are best effective imaging modalities to indicate the pseudomeningoceles due to nerve root injury.
Key words: brachial plexopathy, lomber plexopathy, magnetic resonance myelography, pseudomeningocele
Keywords
Kaynakça
- Walter LO, Donald WC, Isabelle B, Jacques R. Spine and spinal cord trauma. In: Manelfe C, ed. Imaging of the Spine and Spinal Cord. New York: Raven Press, 1992, pp 407-444.
- Dubendorf P Spinal cord injury pathophysiology. Crit Care Nurs Q 1999; 22:31-35.
- Delmas PF, Roger B, Travers V, Laval-Jeantet M, Sedel L. Modern technics for studying injuries of the lumbo-ischiatic plexus. Apropos of a new case J Radiol 1986; 67:115-118.
- Finney LA, WulfmanWA. Traumatic intradural lumbar nerve root avulsion with associated traction injury to the common peroneal nerve. Am J Roentgenol 1960; 84:952-957.
- Goodell CL. Neurological deficits associated with pelvic fractures. J. Neurosurg1966; 24:837-842.
- DaSilva VR, Al-Gahtany M, Midha R, Sarma D, Cooper P. Upper thoracic spinal cord herniation after traumatic nerve root avulsion. J Neurosurg: Spine 2003; 99:306–309.
- Yokota H, Yokoyama K, Noguchi H, Uchiyama Y. Spinal cord herniation into associated pseudomeningocele after brachial plexus avulsion injury: case report. Neurosurgery 2007; 60:E205.
- Sunderland S. A classification of peripheral nerve injuries producing loss of function. Brain 1951; 74:491–516.
Ayrıntılar
Birincil Dil
İngilizce
Konular
-
Bölüm
-
Yayımlanma Tarihi
2 Ekim 2013
Gönderilme Tarihi
24 Ekim 2012
Kabul Tarihi
-
Yayımlandığı Sayı
Yıl 1970 Cilt: 18 Sayı: 3