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Sonographic Nerve Tracking in the Cervical Region: A Pictorial Essay and Video Demonstration

Chang, Ke-Vin MD, PhD; Lin, Chih-Peng MD; Hung, Chen-Yu MD; Özçakar, Levent MD; Wang, Tyng-Guey MD; Chen, Wen-Shiang MD, PhD

American Journal of Physical Medicine & Rehabilitation: November 2016 - Volume 95 - Issue 11 - p 862–870
doi: 10.1097/PHM.0000000000000557
Literature Review

ABSTRACT: Imaging of the nerves in the cervical region is more complicated than those of the extremities. Although high-resolution ultrasound enables the depiction of peripheral nerves’ morphology and their associations with the adjacent soft tissues, precise identification of the nerves in the neck is still challenging. Familiarization with the cervical nerve tracking techniques can help interventional physiatrists explore/treat relevant entrapment syndromes, so does guiding proper electrode placement during nerve conduction studies. The present article integrates serial ultrasound images and videos to demonstrate how to scan brachial plexus, superficial cervical plexus, cranial nerves in the neck region, and certain branches of the major cervical nerves.

From the Department of Physical Medicine and Rehabilitation and Community and Geriatric Research Center, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan (K-VC, C-YH); National Taiwan University College of Medicine, Taipei, Taiwan (K-VC, C-PL, T-GW, W-SC); Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan (C-PL); Department of Physical Medicine and Rehabilitation, Hacettepe University Medical School, Ankara, Turkey (LÖ); and Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan (T-GW, W-SC).

All correspondence and requests for reprints should be addressed to: Ke-Vin Chang, MD, PhD, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch and National Taiwan University College of Medicine, Taipei, Taiwan.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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