The current role of diagnostic imaging in the preoperative workup for refractory neonatal brachial plexus palsy

Childs Nerv Syst. 2016 Aug;32(8):1393-7. doi: 10.1007/s00381-016-3106-2. Epub 2016 May 14.

Abstract

Introduction: Despite recent improvements in perinatal care, the incidence of neonatal brachial plexus palsy (NBPP) remains relatively common. CT myelography is currently considered to be the optimal imaging modality for evaluating nerve root integrity. Recent improvements in MRI techniques have made it an attractive alternative to evaluate nerve root avulsions (preganglionic injuries).

Aim: We demonstrate the utility of MRI for the evaluation of normal and avulsed spinal nerve roots. We also show the utility of ultrasound in providing useful preoperative evaluation of the postganglionic brachial plexus in patients with NBPP.

Keywords: Magnetic resonance imaging; Neonatal brachial plexus palsy; Nerve root avulsion; Ultrasound.

Publication types

  • Review

MeSH terms

  • Brachial Plexus / diagnostic imaging*
  • Brachial Plexus / surgery
  • Brachial Plexus Neuropathies / diagnostic imaging*
  • Brachial Plexus Neuropathies / pathology*
  • Brachial Plexus Neuropathies / surgery
  • Humans
  • Infant, Newborn
  • Magnetic Resonance Imaging*
  • Spinal Nerve Roots / diagnostic imaging
  • Tomography Scanners, X-Ray Computed*