[Predictive value of MRI for detecting and characterizing vascular compression in cranial nerve hyperactivity syndromes (trigeminal and facial nerves)]. / Valeur prédictive de l'IRM pour la détection et la caractérisation de la compression vasculaire dans les syndromes d'hyperactivité des nerfs crâniens (trijumeau et facial).
Neurochirurgie
; 55(2): 174-80, 2009 Apr.
Article
em Fr
| MEDLINE
| ID: mdl-19298977
ABSTRACT
MRI detects vascular compression of the cranial nerve in the majority of the cases. High-resolution 3D-T1 and 3D-T2 MRI gives detailed images, particularly the 3D-T2 MRI sequences, with good contrast between cerebrospinal fluid and vascular and nerve structures. TOF-AMR (native sequence and vertebrobasilar reconstruction) shows the vascular structures in hypersignal and therefore differentiates the vessels from the cranial nerves. The 3D-T1 sequence with gadolinium reinforces the signal of the venous structures. Thus, preoperative MRI makes it possible to predict the existence of a vascular compression. The correlation study between imaging data and intraoperaitive anatomical findings showed a sensitivity of MRI of 97% and a specificity of 100%. In addition, it can specify the type and the degree of the compression. This information may help in selecting the most appropriate surgical method.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças dos Nervos Cranianos
/
Doenças do Nervo Trigêmeo
/
Doenças do Nervo Facial
/
Síndromes de Compressão Nervosa
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Fr
Revista:
Neurochirurgie
Ano de publicação:
2009
Tipo de documento:
Article