Ultrasound-guided percutaneous injection of methylene blue to identify nerve pathology and guide surgery
| Autor: | Ashley M. Hastings-Robinson, Joseph A. Osorio, Omar Arnaout, Pedram Aleshi, Neil G. Simon, Michel Kliot, Jonathan D. Breshears |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Injections Intradermal Nerve pathology Neurosurgical Procedures Cohort Studies Peripheral nerve Medicine Humans Ultrasonography Interventional medicine.diagnostic_test business.industry Peripheral Nervous System Diseases Magnetic resonance imaging General Medicine Middle Aged Magnetic Resonance Imaging Ultrasound guided Peripheral Surgery Methylene Blue Ultrasound guidance Female Neurology (clinical) Ultrasonography business |
| Zdroj: | Neurosurgical focus. 39(3) |
| ISSN: | 1092-0684 |
| Popis: | OBJECT The objective of this study was to provide a technique that could be used in the preoperative period to facilitate the surgical exploration of peripheral nerve pathology. METHODS The authors describe a technique in which 1) ultrasonography is used in the immediate preoperative period to identify target peripheral nerves, 2) an ultrasound-guided needle electrode is used to stimulate peripheral nerves to confirm their position, and then 3) a methylene blue (MB) injection is performed to mark the peripheral nerve pathology to facilitate surgical exploration. RESULTS A cohort of 13 patients with varying indications for peripheral nerve surgery is presented in which ultrasound guidance, stimulation, and MB were used to localize and create a road map for surgeries. CONCLUSIONS Preoperative ultrasound-guided MB administration is a promising technique that peripheral nerve surgeons could use to plan and execute surgery. |
| Databáze: | OpenAIRE |
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