Animation: 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.




Nerve Trauma Information
Nerve Entrapment Information
Brachial Plexus Trauma
Obstetrical Brachial Plexus Palsy
Lingual Nerve Injury
Regrowth of Severed Nerves
Repair of Peroneal Nerve Laceration

Repair of Peroneal Nerve Laceration
Normal Mobility of Median Nerve
Diagnosis of Unusual Entrapments
RSD from Nerve Entrapment