Rheumatologic ultrasound in neurologic diseases of the peripheral nerve

IF 0.5 Q3 Health Professions

Revista Colombiana de Reumatologia Pub Date : 2026-04-01 Epub Date: 2026-02-07 DOI:10.1016/j.rcreu.2026.504874

Catalina Sanmiguel-Reyes, Ruddy Paola Montoya Rumpf, María Paula Carrillo, Carol Anne Mayorga, Héctor Sierra, Sebastián Moreno, Ana Trujillo, Alejandro Escobar, Adriana Rojas-Villarraga, Jairo Cajamarca-Barón

{"title":"Rheumatologic ultrasound in neurologic diseases of the peripheral nerve","authors":"Catalina Sanmiguel-Reyes, Ruddy Paola Montoya Rumpf, María Paula Carrillo, Carol Anne Mayorga, Héctor Sierra, Sebastián Moreno, Ana Trujillo, Alejandro Escobar, Adriana Rojas-Villarraga, Jairo Cajamarca-Barón","doi":"10.1016/j.rcreu.2026.504874","DOIUrl":null,"url":null,"abstract":"<div><div>Ultrasonography (US) has become a pivotal tool in assessing peripheral nerve pathology, especially within the rheumatologic domain. Its ability to provide high-resolution, non-invasive imaging enhances diagnostic accuracy and guides therapeutic decisions in complex cases. This review synthesizes the applications, benefits, and limitations of ultrasound in the diagnosis and management of neurologic disorders affecting peripheral nerves in rheumatologic patients.</div><div>The main ultrasound findings in patients with peripheral nervous system involvement in rheumatic diseases are:<ul><li><span>-</span><span><div>Entrapment neuropathies: US effectively identifies characteristic changes such as increased cross-sectional areas and altered echogenicity in conditions like carpal tunnel and cubital tunnel syndromes, enabling early diagnosis and monitoring.</div></span></li><li><span>-</span><span><div>Inflammatory neuropathies: chronic inflammatory demyelinating polyneuropathy (CIDP) and anti-MAG antibody neuropathy demonstrate distinct ultrasonographic patterns, aiding differential diagnoses.</div></span></li><li><span>-</span><span><div>Trauma and neoplasms: ultrasound detects structural abnormalities such as nerve discontinuities, intraneural fibrosis, and nerve-associated tumors with high accuracy.</div></span></li></ul></div><div>US offers several advantages, including real-time dynamic assessments, cost-effectiveness, and non-invasiveness. However, its efficacy is highly dependent on operator expertise and may be limited in deeper nerve imaging.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504874"},"PeriodicalIF":0.5000,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Colombiana de Reumatologia","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0121812326000137","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/2/7 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Health Professions","Score":null,"Total":0}

引用次数: 0

Abstract

Ultrasonography (US) has become a pivotal tool in assessing peripheral nerve pathology, especially within the rheumatologic domain. Its ability to provide high-resolution, non-invasive imaging enhances diagnostic accuracy and guides therapeutic decisions in complex cases. This review synthesizes the applications, benefits, and limitations of ultrasound in the diagnosis and management of neurologic disorders affecting peripheral nerves in rheumatologic patients.

The main ultrasound findings in patients with peripheral nervous system involvement in rheumatic diseases are:

-
Entrapment neuropathies: US effectively identifies characteristic changes such as increased cross-sectional areas and altered echogenicity in conditions like carpal tunnel and cubital tunnel syndromes, enabling early diagnosis and monitoring.
-
Inflammatory neuropathies: chronic inflammatory demyelinating polyneuropathy (CIDP) and anti-MAG antibody neuropathy demonstrate distinct ultrasonographic patterns, aiding differential diagnoses.
-
Trauma and neoplasms: ultrasound detects structural abnormalities such as nerve discontinuities, intraneural fibrosis, and nerve-associated tumors with high accuracy.

US offers several advantages, including real-time dynamic assessments, cost-effectiveness, and non-invasiveness. However, its efficacy is highly dependent on operator expertise and may be limited in deeper nerve imaging.

查看原文本刊更多论文

风湿性超声在周围神经疾病中的应用

超声检查（US）已成为评估周围神经病理的关键工具，特别是在风湿病领域。它提供高分辨率、无创成像的能力提高了诊断准确性，并指导复杂病例的治疗决策。本文综述了超声在风湿病患者影响周围神经的神经系统疾病诊断和治疗中的应用、益处和局限性。风湿病中周围神经系统受累患者的主要超声表现为：-卡压神经病：US能有效识别腕管和肘管综合征等疾病的特征性变化，如横断面积增加和回声原性改变，从而实现早期诊断和监测。炎性神经病变：慢性炎性脱髓鞘性多神经病变（CIDP）和抗mag抗体神经病表现出不同的超声表现，有助于鉴别诊断。-创伤和肿瘤：超声检测结构异常，如神经不连续，神经内纤维化，神经相关肿瘤，准确度高。US提供了几个优势，包括实时动态评估、成本效益和非侵入性。然而，其效果高度依赖于操作人员的专业知识，并且在深层神经成像方面可能受到限制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Revista Colombiana de Reumatologia Medicine-Rheumatology

CiteScore

0.80

自引率

0.00%

发文量

期刊介绍： The Colombian Journal of Rheumatology (Revista Colombiana de Reumatología) is the official organ of the Colombian Association of Rheumatology (Asociación Colombiana de Reumatología) and the Central American, Caribbean and Andean Association of Rheumatology (Asociación Centroamericana Caribe Andina de Reumatología) - ACCA. It was created in December 1993 with the purpose of disseminating scientific information derived from primary and secondary research and presenting cases coming from the practice of Rheumatology in Latin America. Since its foundation, the Journal has been characterized by its plurality with subjects of all rheumatic and osteomuscular pathologies, in the form of original articles, historical articles, economic evaluations, and articles of reflection and education in Medicine. It covers an extensive area of topics ranging from the broad spectrum of the clinical aspects of rheumatology and related areas in autoimmunity (both in pediatric and adult pathologies), to aspects of basic sciences. It is an academic tool for the different members of the academic and scientific community at their different levels of training, from undergraduate to post-doctoral degrees, managing to integrate all actors inter and trans disciplinarily. It is intended for rheumatologists, general internists, specialists in related areas, and general practitioners in the country and abroad. It has become an important space in the work of all rheumatologists from Central and South America.