Animated at Right:
The first actual neurography imaging case —
a sciatic nerve injury.
In November 1992, Dr. Aaron Filler
conducted the first patient imaging using a an MR
Neurography-configured clinical GE Signal MRI scanner.
The patient suffered from
a sciatic nerve injury. The first patient image led
to the discovery that the fascicle pattern inside
the nerve could be seen in an image. This image also
proves that the structure imaged is indeed a nerve.
The image was published in the British medical journal
Lancet
in 1993 and received extensive world wide attention.
A) Cross section
of the thigh. The arrow indicates the sciatic nerve.
This patient had suffered a stab wound to the the
thigh which had severed his sciatic nerve.
B) Blow up
view of the sciatic nerve revealing the internal fascicle
structure.
C) A three
dimensional reconstruction of the nerve based on "maximum
intensity projection" of the nerve. This image
closely matches the shape of the sciatic nerve seen
in the photograph (D).
D) Intraoperative
photograph taken during surgery. The photo shows the
cut sciatic nerve. The arrow indicates the suture
line where nerve grafts have been sown into place.
There are many diagnoses and
treatments of nerve trauma, entrapment and RSD. Please
click on any of the links below to learn more about
individualized cases from the files of Dr. Filler.
