상완신경총 신경절전 손상의 전기진단검사와 자기공명영상의 유용성
Diagnostic Usefulness of Electrodiagnostic Study and Magnetic Resonance Imaging to Preganglionic Brachial Plexopathy
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Abstract
Objective: This study aims at evaluating the usefulness of the electrodiagnostic study (EDx) and the magnetic resonance imaging (MRI), which are performed before surgical operation of brachial plexus injury. Method: We reviewed 57 cases of brachial plexopathy diagnosed with surgical findings. EDx and MRI were performed to the patients before surgery. Based upon intraoperative findings, we evaluated the occurrence of preganglionic root injury and subsequently each injured spinal root level. Results: EDx and MRI for preganglionic root injuries showed 92.1% and 78.9% of diagnostic sensitivity and 63.2% and 42.9% of diagnostic specificity, respectively. The followings were about each injured spinal root level. EDx showed that the sensitivities of C5, C6, C7, C8, T1 were 91.4%, 91.4%, 92.6%, 96%, 95.8%, and their specificities were 59.1%, 59.1%, 56.7%, 68.8%, 66.7%. MRI showed that the sensitivities were 47.4%, 57.9%, 58.3%, 75%, 66.7%, and their specificities were 57.1%, 71.4%, 78.6%, 85.7%, 85.7%. Conclusion: As for preganglionic brachial plexopathy, EDx was more useful than MRI to diagnose preganglionic root injury and determine the level of injured spinal root.
참고문헌 (22)
- "전기진단 소견으로 관찰한 상완신경총 신경절전근손상의 예후", 22, pp.625~633 (1998)
- "상완 신경총의 절전부전마비 손상에서 다발성 신경 이전술", 30, pp.22~32 (1995)
- "상완신경총 및 말초 신경 손상의 합병증과 그 대책", 10, pp.1080~1084 (1990)
- "외상성 상완신경총 손상의 자기공명영상", 41, pp.777~783 (1999)
- "상완신경총 손상의 임상적 고찰", 12, pp.52~57 (1988)
- "쇄골 상부 및 하부 상완신경총 손상의 회복정도", 19, pp.518~524 (1995)
- "상완신경총병변의 근전도 검사에 대한 고찰", 31, pp.377~381 (1989)
- "상완 신경총 손상의 근전도적 검사 소견과 방사선적 검사 소견의 비교", 3, pp.69~73 (2001)
- "Traction injuries of the brachial plexus in adults", 31b, pp.10~16 (1949)
- "Prognosis in traction lesions of the brachial plexus", 41, pp.4~35 (1959)
- "Nerve root avulsion of birth palsy comparison of myelography with CT myelography and somatosensory evoked potential", pp.841~845
- "Neurosurgical correction of upper brachial plexus birth injuries", 79, pp.197~203 (1993)
- "Post-traumatic lesions of the brachial plexus:treatment by transclavicular exploration and neurolysis or autograft reconstruction", 55, pp.1159~1176 (1973)
- "Brachial plexus injury in adults", pp.1285~1301 (1991), Lippincott
- "Brachial plexus injuries.Nerve grafting", 237, pp.36~42 (1988)
- "Surgical treatment of traction injuries of the brachial plexus", 133, pp.71~90 (1978)
- "The diagnostic value of MRI in traumatic brachial plexus injury", 19, pp.55~59 (1994)
- "Diagnosis and surgery of brachial plexus injury", 15, pp.3~8 (1999)
- "Nerve transfer in brachial plexus traction injuries", 76, pp.191~197 (1992)
- "Detection of nerve rootlet avulsion on CT myelography in patients with birth palsy and brachialplexus injury after trauma", 167, pp.1283~1287 (1996)
- "Electromyographic changes of brachial plexus root avulsion", 31, pp.137~140 (1969)
- "AAEM minimonograph 32:the electrodiagnostic examination in patient with radiculopathies", 21, pp.1612~1631 (1998)