Magnetic Resonance Imaging of Hip Neuropathies: Beyond the Sciatica: A Practical Approach

Renata Vidal Leão; Denise Tokechi Amaral; Paulo Victor Partezani Helito; Luciana Carmen Zattar Ramos; Marcelo Bordalo Rodrigues

doi:10.1007/s40134-017-0230-z

Journal article

Magnetic Resonance Imaging of Hip Neuropathies: Beyond the Sciatica: A Practical Approach

Renata Vidal Leão, Denise Tokechi Amaral, Paulo Victor Partezani Helito, Luciana Carmen Zattar Ramos and Marcelo Bordalo Rodrigues

Current radiology reports (Philadelphia, PA ), Vol.5(8), pp.1-10

08/01/2017

DOI: 10.1007/s40134-017-0230-z

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Abstract

Purpose of Review Neural entrapments in the hip area represent a challenging diagnosis due to the complexity, deep location, and variable distribution of pelvic nerves. This paper aims to perform an anatomic and pathologic review of neural entrapment syndromes involving the pudendal, obturator, lateral cutaneous femoral, and femoral nerves at the pelvis. Recent Findings Among the etiologies for pelvic neuropathies, besides idiopathic and expansive processes, extrinsic compression by normal anatomical structures is also frequent, which relights the importance of the critic constriction points on nerves pathway. High-field 3-Tesla (3-T) magnetic resonance neurography is considered the best image method for such imaging investigation. Summary At MR imaging neural disease may be appreciated by alterations in nerve signal intensity, size, and morphology. For such evaluation, three-dimensional images with isotropic volumetric data acquisition both on T1 and STIR sequences should be performed, enabling post-processing imaging on workstations, which improves the diagnostic sensibility an enables early therapeutic procedures.

Radiology

Imaging

Medicine

Medicine & Public Health

Musculoskeletal Imaging

Musculoskeletal Imaging (J Guimaraes

Section Editor

Details

Title: Subtitle: Magnetic Resonance Imaging of Hip Neuropathies: Beyond the Sciatica: A Practical Approach
Creators: Renata Vidal Leão - Hospital Sírio-Libanês
Denise Tokechi Amaral - Hospital Sírio-Libanês
Paulo Victor Partezani Helito - Hospital Sírio-Libanês
Luciana Carmen Zattar Ramos - Hospital Sírio-Libanês
Marcelo Bordalo Rodrigues - Universidade de São Paulo
Resource Type: Journal article
Publication Details: Current radiology reports (Philadelphia, PA ), Vol.5(8), pp.1-10
Publisher: Springer US
DOI: 10.1007/s40134-017-0230-z
ISSN: 2167-4825
eISSN: 2167-4825
Language: English
Date published: 08/01/2017
Academic Unit: Radiology
Record Identifier: 9984697627402771

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