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Ultraschall Med 2011; 32(3): 242-266
DOI: 10.1055/s-0031-1273309
Continuing Education/Continuing Education

© Georg Thieme Verlag KG Stuttgart · New York

Diagnostische Sonografie peripherer Nerven: Indikationen, Techniken und Pathologien

Diagnostic Sonography of Peripheral Nerves: Indications, Examination Techniques and Pathological FindingsH. Kopf1 , A. Loizides2 , G. H. Mostbeck1, 3 , H. Gruber2
  • 1Institut für diagnostische und interventionelle Radiologie, Wilhelminenspital
  • 2Department Radiologie, Univ.-Klinik f. Radiologie 1, Med. Univ. Innsbruck
  • 3Institut für Röntgendiagnostik, Sozialmedizinisches Zentrum Baumgartner Höhe Otto Wagner Spital und Pflegezentrum
Further Information

Publication History

eingereicht: 25.1.2011

angenommen: 24.2.2011

Publication Date:
10 June 2011 (online)

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Lernziele

Erlernen der wichtigsten Indikationen zur Sonografie peripherer Nerven. Erlernen der wesentlichen technischen Vorraussetzungen, der Geräteeinstellungen und deren Optimierung zur hochauflösenden Weichteil(WT)-Sonografie sowie der sonografischen Untersuchungstechnik. Erlernen der sonografischen Anatomie der mit Ultraschall (US) darstellbaren peripheren Nerven. Erlernen der sonografischen Pathologie von peripheren Nerven (Kompressionssyndrome an der oberen und unteren Extremität, posttraumatische und postoperative Veränderungen, periphere Nerventumoren).

Literatur/References

  • 1 Kele H, Verheggen R, Bittermann H J et al. The potential value of ultrasonography in the evaluation of carpal tunnel syndrome.  Neurology. 2003;  61 389-391
    Google Scholar
  • 2 Hughes D G, Wilson D J. Ultrasound appearances of peripheral nerve tumours.  Br J Radiol. 1986;  59 1041-1043
    Google Scholar
  • 3 Silvestri E, Martinoli C, Derchi L E et al. Echotexture of peripheral nerves: correlation between US and histologic findings and criteria to differentiate tendons.  Radiology. 1995;  197 291-296
    Google Scholar
  • 4 Martinoli C, Bianchi S, Gandolfo N et al. US of nerve entrapments in osteofibrous tunnels of the upper and lower limbs.  Radiographics. 2000;  20 1818
    Google Scholar
  • 5 Buchberger W, Schön G, Strasser K et al. High-resolution ultrasonography of the carpal tunnel.  J Ultrasound Med. 1991;  10 531-537
    Google Scholar
  • 6 Bertolotto M, Rosenberg I, Parodi R C et al. Case report: Fibroma of tendon sheath in the distal forearm with associated median nerve neuropathy: US, CT and MR appearances.  Clin Radiol. 1996;  51 370-372
    Google Scholar
  • 7 Lanteri M, Ptasznik R, Constable L et al. Ultrasound changes in the wrist and hand in hemodialysis patients.  Clin Nephrol. 1997;  48 375-380
    Google Scholar
  • 8 Kele H, Verheggen R, Reimers C D. Carpal tunnel syndrome caused by thrombosis of the median artery: the importance of high-resolution ultrasonography for diagnosis.  J Neurosurg. 2002;  97 471-473
    Google Scholar
  • 9 Gassner E M, Schocke M, Peer S et al. Persistent median artery in the carpal tunnel: color Doppler ultrasonografic findings.  J Ultrasound Med. 2002;  21 455-461
    Google Scholar
  • 10 Campbell W W. Ulnar neuropathy at the elbow.  Muscle Nerve. 2000;  23 450-452
    Google Scholar
  • 11 Okamoto M, Abe M, Shirai H et al. Diagnostic ultrasonography of the ulnar nerve in cubital tunnel syndrome.  J Hand Surg Br. 2000;  25 499-502
    Google Scholar
  • 12 Okamoto M, Abe M, Shirai H et al. Morphology and dynamics of the ulnar nerve in the cubital tunnel. Observation by ultrasonography.  J Hand Surg Br. 2000;  25 85-89
    Google Scholar
  • 13 Sofka C M, Lin D, Adler R S. Advantages of color B-mode imaging with contrast optimization in sonography of low-contrast musculoskeletal lesions and structures in the foot and ankle.  J Ultrasound Med. 2005;  24 215-218
    Google Scholar
  • 14 Seddon H J. A Classification of Nerve Injuries.  Br Med J. 1942;  2 237-239
    Google Scholar
  • 15 Peer S, Kovacs P, Harpf C et al. High-resolution sonography of lower extremity peripheral nerves: anatomic correlation and spectrum of disease.  J Ultrasound Med. 2002;  21 315-322
    Google Scholar
  • 16 Gasparotti R, Ferraresi S, Pinelli L et al. Three-dimensional MR myelography of traumatic injuries of the brachial plexus.  AJNR Am J Neuroradiol. 1997;  18 1733-1742
    Google Scholar
  • 17 Schwemmer U, Markus C K, Brederlau J et al. Einsatz von Ultraschall zur Durchführung peripherer Nervenblockaden.  Ultraschall in Med. 2009;  30 6-24
    Google Scholar
  • 18 Schwemmer U, Markus C K, Greim C A et al. Ultrasound-Guided Anaesthesia of the Axillary Brachial plexus: Efficacy of Multiple Injection Approach Ultraschallgesteuerte Blockade des Plexus axillaris: Erfolgsraten bei multipler Injektionstechnik.  Ultraschall in Med. 2005;  26 114-119
    Google Scholar
  • 19 Murphey M D, Smith W S, Smith S E et al. From the archives of the AFIP. Imaging of musculoskeletal neurogenic tumors: radiologic-pathologic correlation.  Radiografics. 1999;  19 1253-1280
    Google Scholar
  • 20 Riccardi V M. Von Recklinghausen neurofibromatosis.  N Engl J Med. 1981;  305 1617-1627
    Google Scholar
  • 21 Gruber H, Glodny B, Galiano K et al. High-resolution ultrasound of the supraclavicular brachial plexus – can it improve therapeutic decisions in patients with plexus trauma?.  Eur Radiol. 2007;  17 1611-1620
    Google Scholar
  • 22 Bendix N, Wolf C, Gruber H et al. Pictorial essay: Ultrasound of tumours and tumour-like lesions of peripheral nerves.  Ultraschall in Med. 2005;  26 318-324
    Google Scholar
  • 23 Kline S C, Moore J R. Intraneural hemangioma: a case report of acute cubital tunnel syndrome.  J Hand Surg Am. 1992;  17 305-307
    Google Scholar
  • 24 Glasker S, Berlis A, Pagenstecher A et al. Characterization of hemangioblastomas of spinal nerves.  Neurosurgery. 2005;  56 503-509
    Google Scholar
  • 25 Reynolds Jr D L, Jacobson J A, Inampudi P et al. Sonographic characteristics of peripheral nerve sheath tumors.  Am J Roentgenol. 2004;  182 741-744
    Google Scholar
  • 26 De Shepper A. Imaging of Soft Tissue Tumors. Berlin, Heidelberg: Springer-Verlag; 1997
    Google Scholar
  • 27 Bacigalupo L, Bianchi S, Valle M et al. Ultrasonography of peripheral nerves.  Radiologe. 2003;  43 841-849
    Google Scholar
  • 28 Lin J, Jacobson J A, Hayes C W. Sonographic target sign in neurofibromas.  J Ultrasound Med. 1999;  18 513-517
    Google Scholar
  • 29 Wanebo J E, Malik J M, VandenBerg S R et al. Malignant peripheral nerve sheath tumors. A clinicopathologic study of 28 cases.  Cancer. 1993;  71 1247-1253
    Google Scholar
  • 30 Schwemmer U, Markus C K, Greim C A et al. Sonographic Imaging of the Sciatic Nerve Division in the Popliteal Fossa Untersuchung zur Darstellung der Teilungsstelle des Ischiasnervs in der Poplitealloge mit Ultraschall.  Ultraschall in Med. 2005;  26 496-500
    Google Scholar
  • 31 Chiou H J, Chou Y H, Chiou S Y et al. Peripheral nerve lesions: role of high-resolution US.  Radiographics. 2003;  23 e15
    Google Scholar
  • 32 Bodner G, Schocke M F, Rachbauer F et al. Differentiation of malignant and benign musculoskeletal tumors: combined color and power Doppler US and spectral wave analysis.  Radiology. 2002;  223 410-416
    Google Scholar

Helmut Kopf

Institut für diagnostische und interventionelle Radiologie, Wilhelminenspital

Montleartstraße 37

1160 Vienna

Austria

Phone: ++ 43/14/91 50 31 08

Fax: ++ 43/14/91 50 31 09

Email: helmut.kopf@wienkav.at

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