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Imaging of traumatic lesions of the brachial plexus 2005

General Spine

Sonia Dra Bermudez, MD
Anibal J Morillo , MD, Non ASSR Member
Nohora E Castano , MD, Non ASSR Member
Raul Sastre , MD, Non ASSR Member

Purpose

To describe our experience in the diagnosis of traumatic injuries of the brachial plexus, using a combination of myelography, CT-myelography and MRI.
To propose an imaging algorithm for an efficient use of diagnostic imaging methods in traumatic brachial plexus injuries.

Methods & Materials

In the past two years, nine cases of young patients (average age 23 years) with clinical evidence of traumatic brachial plexus injury presented to our institution. After initial plain film imaging work- up, our patients were imaged with myelography, CT-myelography or MRI. Imaging findings were classified according to the anatomic localization of the injuries, in pre and post-ganglionic lesions.

Results

The main findings were posttraumatic meningoceles (19), non-visualization of the affected root in the anatomical entry site (27) and thoracic fistula in one patient. Most lesions were diagnosed with Myelo CT

Images

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