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العنوان
Role of nerve ultrasound versus electrophysiological studies in the evaluation of nerve injuries /
الناشر
Marwa Saad Afify Saad ,
المؤلف
Marwa Saad Afify Saad
هيئة الاعداد
باحث / Marwa Saad Afify SaadMarwa Saad Afify Saad
مشرف / Neveen Mohamed El Fayoumy
مشرف / anan Helmy El Gendy
مشرف / Amira Ahmed Aly Labib
تاريخ النشر
2019
عدد الصفحات
100 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
علم الأعصاب السريري
تاريخ الإجازة
25/11/2019
مكان الإجازة
جامعة القاهرة - كلية الطب - Clinical Neurophysiology
الفهرس
Only 14 pages are availabe for public view

from 143

from 143

Abstract

Background: High-resolution ultrasonography is a noninvasive, readily applicable imaging modality, capable of depicting real-time static and dynamic information concerning the peripheral nerves and their surrounding tissues. Although electrophysiological studies are the gold standard in the evaluation of nerve injuries, ultrasound can be used also to evaluate the morphological changes of nerve injuries. Objectives: is to determine the role of nerve ultrasound in the evaluation of nerve injuries and to compare it to the role of electrophysiological studies. Methods: A total of 30 nerves from 22 consecutive patients with clinical suspicion of nerve injury were considered.Two independent and blinded clinicians, performing electrodiagnosis and US, classified clinical, neurophysiological and US findings and classified the contribution of US as follows: {u2018}contributive{u2019} and {u2018}non-contributive{u2019} if US confirmed the clinical and neurophysiological diagnosis or not. Results: US was {u2018}contributive{u2019}(confirming the electrophysiological diagnosis) in 66.67% of cases (n: 20) providing information about continuity of the nerve, morphological changes after injury as swelling, scar tissue formation or neuroma formation with sensitivity (75%) compared to the electrodiagnostic studies and accuracy(66.67%). Conclusion: Ultrasound can be used when available as a complementary tool to electrodiagnostic studies to provide anatomical information about the injured nerves