CAPACITY OF THE MAGNETIC RESONANT TOMOGRAPHY IN DIAGNOSTIC OF THE ARMS ENTRAPMENT NEUROPATHIES IN PATIENTS WITH HYPOTHYROSIS-Reference-Cited by-同舟云学术

CAPACITY OF THE MAGNETIC RESONANT TOMOGRAPHY IN DIAGNOSTIC OF THE ARMS ENTRAPMENT NEUROPATHIES IN PATIENTS WITH HYPOTHYROSIS

Published:2019-04-09 Issue:1 Volume: Page:55-61
ISSN:2079-5343
Container-title:Diagnostic radiology and radiotherapy
language:
Short-container-title:Lučevaâ diagn. ter.

Author:

Shiryaeva E. V.¹,Nikishchencova A. S.²,Zhulev S. N.²,Zhulev V. S.³,Zhulev N. M.⁴,Khalimov Y. Sh.⁵,Zagrebelnaya O. A.⁶,Karpenko M. N.⁷

Affiliation:

1. N. P. Bechtereva Institute of the Human Brain of the Russian Academy of Sciences, St. Petersburg; «Аva-Peter» LLC, St. Petersburg

2. North-Western State Medical University named after I. I. Mechnikov, St. Petersburg

3. Pavlov First Saint Petersburg State Medical University, St. Petersburg

4. «Medical Center Professor Zhulev» LLC, St. Petersburg

5. S. M. Kirov Military Medical Academy, St. Petersburg

6. City Polyclinic № 37, St. Petersburg

7. Research Institute of Experimental Medicine of the Russian Academy of Medical Sciences, St. Petersburg

Abstract

Symptoms of neuromuscular dysfunction are quite common in patients with hypothyroidism. Structural changes of myelin and dysfunction of oligodendroglial processes in axons have pathogenetic significance in patients with neuropathies against the background of hypothyroidism. However, the etiopathogenesis of the development of neuropathies in hypothyroidism is not fully understood. Magnetic resonance imaging (MRI) is a modern imaging method that now provides an image of nerve trunks with a quality sufficient to assess their condition. The main task of MRI is to assess the difficult and atypical cases of nerve compression. We examined 26 patients diagnosed with hypothyroidism, including 8 patients with degenerative-dystrophic diseases of the spine, 1 patient — an anomaly of nerves and muscles, 2 patients were found to have the consequences of injuries, 1 patient was diagnosed with De-Kervin disease, and 14 patients with comorbidity, leading to nerve compression, was not found. The aim of the study was to assess the diagnostic capabilities of magnetic resonance imaging for compression-ischemic neuropathies of the hands in patients with hypothyroidism. Neurological examination and data from stimulation electroneuromyography allows you to accurately determine the area of investigation for MRI. The article shows the diagnostic capabilities of MRI, as well as its place in the diagnostic algorithm of compression-ischemic neuropathies of the hands in patients with hypothyroidism.

Publisher

Baltic Medical Education Center

Subject

General Medicine

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