Nervenheilkunde 2006; 25(10): 831-837
DOI: 10.1055/s-0038-1626787
Originaler Artikel
Schattauer GmbH

Die Untersuchung peripherer Nerven mit bildgebenden Methoden

Examination of peripheral nerves with imaging techniques
A. Peinemann
1   Neurologische Klinik und Poliklinik der Technischen Universität München, Klinikum rechts der Isar (Direktor: Prof. Dr. B. Conrad)
,
A. Berthele
1   Neurologische Klinik und Poliklinik der Technischen Universität München, Klinikum rechts der Isar (Direktor: Prof. Dr. B. Conrad)
› Author Affiliations
Further Information

Publication History

Publication Date:
18 January 2018 (online)

Zusammenfassung

Die Methoden der Elektrophysiologie gelten unbestritten als der Goldstandard in der Diagnostik von Erkrankungen des peripheren Nervensystems, da sie die Funktion der untersuchten Nerven direkt abbilden. Elektrophysiologische Techniken erlauben jedoch keine Aussagen zu morphologischen Veränderungen und geben damit nur selten Hinweise auf die letztlich zu Grunde liegende Ursache der Erkrankung. Insofern ist durch die ergänzende Anwendung von bildgebenden Methoden ein echter diagnostischer Fortschritt zu erwarten. Die Möglichkeiten der Kernspintomographie, mit den bereits heute zur Verfügung stehenden Sequenzen und konventionellen Untersuchungstechniken zur Diagnostik von Nervenschädigungen beizutragen, werden in diesem Artikel ebenso zusammengefasst wie neue Entwicklungen im Bereich der Sonographie peripherer Nerven.

Summary

Serving asa direct measure of function, electrophysiological techniques are still the mainstay in the diagnostic workup of diseases of the peripheral nerve system. However, and by nature, electrophysiological studies give no idea of the nerve’s morphology, and with respect to the underlying pathology these techniques are for the most part unrewarding. Thus, imaging techniques, applied to the investigation of peripheral nerves, would add most valuable information. The potential of MRI, utilizing conventional sequences, as well as recent developments in ultrasound techniques are reviewed in this article.

 
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