Anatomic and functional digital subtraction periangioneurography of the brachial plexus, its terminal branches, and the carotid sheath.
Correct localization of perineural compressions and adhesions is essential for effective pain relief in the use of local anesthetics, anti-inflammatory drugs, and neurolytic agents for lysis of adhesion by hydraulic distention, blunt dissection, or formal surgery. This article presents a method of entering and navigating the neurovascular sheath of the brachial plexus, the perinueral space of its terminal branches, and the carotid sheath using a catheter/guidewire system for imaging, testing motor function, administering pharmaceuticals, and lysing adhesions.
Haberbeck Modesto
Marco A
MA
NIDI-Neurociências, Diagnostic and Therapeutic Neuroradiology, Celso Ramos Medical Center, Rua Dom Joaquim 849/885, Primero Andar, Florianópolis/SC CEP 88015-310, Brazil. mmodesto@nidi.com.br
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015901:Angiography, Digital Subtraction / Q000379:methods*; D001917:Brachial Plexus / Q000000981:diagnostic imaging* / Q000293:injuries; D020516:Brachial Plexus Neuropathies / Q000000981:diagnostic imaging / Q000628:therapy; D002277:Carcinoma / Q000556:secondary; D002921:Cicatrix / Q000150:complications; D003287:Contrast Media; D004558:Electric Stimulation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009046:Motor Neurons / Q000502:physiology; D009119:Muscle Contraction / Q000502:physiology; D009407:Nerve Block; D009437:Neuralgia / Q000000981:diagnostic imaging / Q000628:therapy; D011856:Radiographic Image Enhancement; D013901:Thoracic Outlet Syndrome / Q000000981:diagnostic imaging / Q000628:therapy
D003287:Contrast Media