Sciatic and peroneal nerve injuries after endovascular ablation of lower extremity varicosities: case reports and review of the literature.

Varicose veins have traditionally been treated by surgical intervention. When performed in the lower limb, surgical vein stripping can potentially cause injury to the saphenous, sural, tibial, and peroneal nerves due to anatomic proximity. Newer, minimally invasive procedures, such as endovenous laser ablation and endovenous radiofrequency ablation, are more commonly used today.

MRI accurately detects chronic exertional compartment syndrome: a validation study.

Objective: To validate the diagnostic performance of an in-scanner exercise-based magnetic resonance imaging (MRI) examination used to screen for chronic exertional compartment syndrome (CECS). Final clinical impression and intracompartmental needle manometry (INM) served as the reference standards.

Materials And Methods: Consecutive patients, referred by a sports medicine physician or orthopedic surgeon, underwent the MRI examination for lower extremity pain over the past 4 years and 9 months.

Extraneural rupture of intraneural ganglion cysts.

Rupture of simple (extraneural) cysts such as popliteal cysts (Baker's cysts) is a well-known occurrence. The purpose of this report is to introduce the similar occurrence of extraneural rupture of peroneal and tibial intraneural cysts in the knee region, describe the associated magnetic resonance imaging (MRI) findings, and identify risk factors. There was MRI evidence of rupture in 20 of 38 intraneural cases reviewed, mainly in the region of the fibular head and popliteal fossa.

False-negative fluorine-18 fluorodeoxyglucose positron emission tomography of a malignant peripheral nerve sheath tumor arising from a plexiform neurofibroma in the setting of neurofibromatosis type 1.

Development of malignant peripheral nerve sheath tumors (MPNSTs) is a recognized complication in patients with neurofibromatosis type 1 (NF1). Differentiating benign from malignant lesions can be a difficult clinical problem. Positron emission tomography (PET) is an established method for making this differentiation with a high degree of sensitivity and specificity.

Evaluation of intraneural ganglion cysts using three-dimensional fast spin echo-cube.

Purpose: To compare conventional two-dimensional fast spin echo (FSE) MRI sequences with a three-dimensional FSE extended echo train acquisition method, known as Cube, in the evaluation of intraneural ganglion cysts. Also, to demonstrate that Cube enables the consistent identification and thorough characterization of the cystic joint connection, and therefore improves patient care by superior preoperative planning.

Materials And Methods: Six patients with intraneural ganglia in the knee region (five involving the peroneal and one the tibial nerve) were evaluated using both conventional FSE MR sequences and the Cube sequence.

Primary monophasic synovial sarcoma presenting as a benign neurogenic tumor: case review and review of the literature.

This report describes two cases of monophasic synovial sarcoma which were initially diagnosed as benign nerve sheath tumors based on imaging features. Retrospective review of the first case and re-review of the second case after initial diagnosis showed imaging features which distinguished the lesions from classical, benign neurogenic tumors. Accurate prospective diagnosis of soft tissue masses in locations in or around nerves and with morphology similar to nerve sheath tumors represent a clinical challenge.

Anatomy and quantitation of the subscapular nerves.

Information regarding branches of the brachial plexus can be of utility to the surgeon for neurotization procedures following injury. Sixty-two adult cadaveric upper extremities were dissected and the subscapular nerves identified and measured. The upper subscapular nerve originated from the posterior cord in 97% of the cases and in 3% of the cases directly from the axillary nerve.

Overdependence on degraded gist memory in Alzheimer's disease.

Alzheimer's disease (AD) reduces associative effects on false recognition in the Deese-Roediger-McDermott task, either due to impaired memory for gist or impaired use of gist in memory decisions. Gist processes were manipulated by blocking or mixing studied words according to their associations and by varying the associative strength between studied and nonstudied words at test. Both associative blocking and associative strength had smaller effects on false recognition in AD patients than in control participants, consistent with gist memory impairments.