Nerve Injury Management - Part 2-Dr. Deshmukh - Nerve Injury Management

Dr. Deshmukh - Nerve Injury Management - Part 2

Pdf Summary

In this presentation, Dr. Swati Deshmukh discusses advanced imaging approaches for peripheral nerve injury. The presentation begins with a case example of a young female presenting with numbness and tingling in the thumb, index, and middle fingers. Treatment options for this case include splinting, NSAIDs, and carpal tunnel release.<br /><br />Dr. Deshmukh then goes on to discuss the MR and US protocols for imaging peripheral nerves. For MR imaging, high resolution imaging with thin slices and tailored field of view is used, along with T1 imaging to delineate anatomy, fat suppressed T2 imaging or STIR to detect abnormal signal intensity, and 3D background suppression techniques to improve nerve visualization. In US imaging, high resolution imaging is done with 18-33 MHz linear probes in transverse and longitudinal planes, and advanced techniques such as 3D probes and quantitative analysis of muscle can be used.<br /><br />The presentation covers various causes of peripheral nerve injury including entrapment, infectious/inflammatory conditions, systemic/hereditary disorders, iatrogenic causes, trauma, and tumors. Dr. Deshmukh discusses the current clinical applications of peripheral nerve imaging, including localization and diagnosis of nerve injury, staging of nerve injury, preoperative planning, and assessment of end-organ damage.<br /><br />The presentation also addresses imaging challenges, such as complicated or uncommon clinical scenarios requiring evaluation of small nerves and subtle pathology. Multi-disciplinary and radiologist-forward approaches are suggested as solutions to these challenges.<br /><br />Lastly, Dr. Deshmukh discusses the impact of the COVID-19 pandemic on peripheral nerve imaging, including COVID-19-associated peripheral nerve injury and the use of imaging for diaphragm and phrenic nerve evaluation in COVID-19 patients.<br /><br />The presentation concludes with a discussion on future directions in peripheral nerve imaging, including the use of imaging as a biomarker for neuromuscular disorders and the concept of a diagnostic cockpit for precision medicine.<br /><br />Dr. Swati Deshmukh expresses gratitude and thanks at the end of the presentation.

Keywords

advanced imaging approaches

peripheral nerve injury

case example

numbness

tingling

treatment options

MR imaging

US imaging

causes of peripheral nerve injury

clinical applications