Ultrasound Evaluation Of Peripheral Nerves And Focal Neuropathies Second Edition

This thoroughly updated and expanded second edition continues to be the singular reference for comprehensive clinical instruction in the use of high-frequency ultrasound for assessing peripheral nerves and their disorders, particularly focal neuropathies. Revised to integrate current advances in the field, new applications, and next-generation equipment, this top of the line text uses a "how-to" approach to describe clinical evaluation, inclusive of both normal and pathological findings with discussions of relevant non-neurologic tissue. The book begins with a review in ultrasound physics, instrumentation, image optimization, and anatomy before presenting a highly visual tour through multiple nerves of the neck, shoulder, and upper and lower limbs with new chapters on the evaluation of muscle and ultrasound guided principles. Anatomical chapters have been substantially updated to feature additional nerves and advanced concepts with updated drawings and unprecedented visualization of smaller nerve segments captured by cutting-edge equipment. Chapters include clinical cases unique to this edition that demonstrate the use of ultrasound in conjunction with clinical and electrophysiologic assessment to optimize diagnosis. In-text video callouts directly connect chapter content to over 430 detailed video examinations accessible online to better facilitate understanding of the ultrasound image. The definitive reference on peripheral nerve ultrasound and focal neuropathies, this practical text and atlas is the prime resource for neurologists, physiatrists, radiologists, sports medicine physicians, and other providers seeking to combine ultrasound with electrodiagnosis for entrapments of the upper and lower limbs. Key Features: Utilizes a "how-to" skills approach for imaging peripheral nerves with ultrasound and understanding anatomic, clinical, electrodiagnostic, and imaging considerations for focal neuropathies Thoroughly revised and updated Second Edition New chapters on imaging muscle and ultrasound-guided procedure Introduces ultra-high frequency imaging with many new sections covering less commonly scanned and smaller nerves Incorporates brand new clinical cases throughout to survey an array of disorders and conditions including an extended series on foot drop Includes hundreds of detailed anatomical drawings and state-of-the-art images with corresponding videos online New audiovisual EMG waveforms provided by Ernest W. Johnson, MD Purchase includes digital access for use on most mobile devices or computers

Honorable Mention, 2015 PROSE Award in Clinical Medicine Practice With a ìhow-toî approach, the author meticulously describes the clinical evaluation of the peripheral nerves throughout the body using high-frequency ultrasound. Evaluations include both normal and pathologic findings, as well as discussions of relevant non-neurologic tissue. The book opens with an introduction to ultrasound physics, instrumentation, and image optimization. The remainder of the text is a highly visual tour through the multiple nerves of the shoulder, neck, and upper and lower limbs, focusing on sonographic technique and correct interpretation of findings. Clinical cases that integrate anatomic localization with clinical and electrodiagnostic assessment are incorporated throughout. Also includes a bound-in DVD with live motion video loops of the examinations to correspond with stills in the book to demonstrate the important dynamic information ultrasound provides. Ultrasound Evaluation of Focal Neuropathies features: Comprehensive yet practical text and atlas with detailed discussion of the strengths and weaknesses of clinical and electrodiagnostic assessments Thorough guide to ultrasound techniques and appearance of normal and abnormal peripheral nerves Clinical cases that pair the imaging information with clinical and electrodiagnostic findings are interwoven throughout with analysis of anatomy relevant to the peripheral nerves being studied Hundreds of high-quality images and line drawings to correlate anatomy and reflect probe placement Companion DVD with motion loops is provided to facilitate understanding of the dynamic image

In recent years, sonography of the peripheral nervous system has gained widespread acceptance. New diagnostic applications have emerged, and the field of ultrasound-guided interventions has expanded significantly: regional anesthesia, peripheral nerve blocks, and similar techniques are now frequently performed under ultrasound guidance by anesthesiologists and pain physicians alike. This atlas of peripheral nerve ultrasound is designed to meet the daily needs of both radiologists and clinicians by allowing rapid review of typical features, knowledge of which is important for successful diagnosis and intervention. The side by side presentation of ultrasound images with anatomical cryosections and photographs of transducer positions allows for reliable sonographic identification of even tiny nerves in regions of complex topography. The practical value of the atlas is further enhanced by correlations with high-resolution MRI scans.

Fully revised and updated, the Third Edition of this respected text continues to provide complete and current information on the sites, causes, symptoms, diagnosis, and treatment of focal lesions of the peripheral nervous system. Detailed coverage of individual nerves emphasizes normal anatomy, pathology, and diagnosis. While this edition retains the easy-access organizational framework of prior editions, many more clinical figures have been added to aid readers in improving diagnostic accuracy. Close attention is given to the latest imaging techniques, electrodiagnostic testing methods, and intraoperative electrophysiologic recordings. Early chapters review the gross anatomy and structure of peripheral nerves, the physiologic sequelae of various types of nerve damage, the abnormalities found in electrodiagnostic tests, and the work-up for patients with focal neuropathies. The remaining chapters address the courses and anatomical relations of various nerves, identify the types and sites of lesions, and discuss the investigation and management of specific focal neuropathies.

Neuromuscular Ultrasound demonstrates the use of ultrasound as an alternative to electrodiagnosis in the evaluation of neuromuscular disorders through detailed descriptions and clear illustrations. Drs. Francis Walker and Michael S. Cartwright discuss techniques for visualizing muscles and nerves without painful testing for better patient compliance and more efficient diagnosis. Color illustrations, pearls for the clinician, and ultrasound videos online at www.expertconsult.com, ensure that you’ll be able to apply this technology effectively in your practice. Access the fully searchable text online at www.expertconsult.com, along with ultrasound videos that demonstrate ultrasound evaluation in real time. Diagnose and manage your patients more quickly and easily by visualizing muscles and nerves without painful testing. Master the nuances of using ultrasound through the visual instruction of clear images and illustrations. Minimize patient discomfort while maximizing optimal patient evaluation with a practical focus that covers using ultrasound as a screening tool, provides clinical pearls, and includes comparisons to electrodiagnosis. Apply the full range of ultrasound applications, including interventional uses (such as ultrasound-guided botulinum toxin and steroid injections), ultrasound of polyneuropathies (often found in diabetics), and more.

This is the first truly foundational, introductory text designed to help novice practitioners master the fundamentals of musculoskeletal ultrasound. For the new practitioner who has yet to hold a transducer, Dr. Strakowski makes beginning easy and presents detailed step-by-step instructions for operating the equipment, obtaining good images, and successfully interpreting sonograms. Organized for maximum learning value, the book is packed with high-quality color images, tables, and tips to enhance understanding of proper technique and proficiency in musculoskeletal ultrasound. The book’s clear, concise presentation will help new practitioners, residents, and medical students take the first steps in using ultrasound in the musculoskeletal clinic with confidence and skill.

This first of its kind richly illustrated book provides a tabular and schematic representation of all the peripheral nerves in the human body using a standardized landmark-based algorithm for the definition of the nerve’s “Point of optimal visibility (POV)”. In this atlas the nerves of the human body are depicted with high-frequent ultrasound probes with frequencies up to 24 MHz: it presents not only the “known” large nerves (N. ischiadicus, N. femoralis, N. medianus etc.), but also the tiny nerves you have learned in your anatomy sessions but forgotten in the course of time! Based on clear illustrations using palpaple/visible external and easily accessible internal landmarks, it offers “nerve sonographers” a clear sonoanatomic guidance on how to easily find the nerve. Additionally, it describes the exact positioning of the probe so that each nerve can be found at its point of optimal visibility. These mental maps for nerve sonographeurs are intended not only for beginners but also for “advanced” specialists requiring instructions on how to easily find even tiny peripheral nerves: especially for neurologists, anaesthesiologists, radiologists, pain practionioners, rheumatologists and surgeons who seek a clear standardized step by step manual on “Where do I find a nerve the easiest?”

Taking a “how-to” approach, the author meticulously describes the clinical evaluation of the peripheral nerves throughout the body using high-frequency ultrasound. The book opens with an introduction to the basics of ultrasound physics, instrumentation, and image optimization, scanning non-neurologic tissue, pertinent anatomy and anatomic variations, and normal and pathologic findings. The remainder of the text is a highly visual tour through the multiple nerves of the shoulder, neck, and upper and lower limbs, focusing on sonographic technique and acquisition and interpretation of findings. Clinical cases that illustrate the utility of anatomic localization with high-frequency ultrasound in conjunction with electrodiagnostic evaluations and clinical findings will be incorporated throughout. A bound-in DVD with actual video loops of the examinations (the corresponding “stills” in the book are taken from these loops) will also be included to demonstrate the important dynamic information ultrasound provides.