使用磁共振成像对大枕叶神经进行成像的挑战。

IF 1.4 4区医学 Q3 SURGERY

Annals of Plastic Surgery Pub Date : 2024-09-01 DOI:10.1097/SAP.0000000000004086

Anvith Reddy, Mariam Saad, Salam Kassis, Patrick Assi, Wesley P Thayer, Isaac V Manzanera Esteve

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引用次数: 0

摘要

摘要：偏头痛是全球关注的一个重要健康问题，其治疗效果经常参差不齐。据推测，大枕神经（GON）受压是导致部分偏头痛患者病变的原因之一，因此颅外神经减压手术是治疗难治性偏头痛的潜在干预措施。然而，对枕大神经迂回路线进行成像的精确方法仍有待探索。我们的研究小组已经开发出跟踪 GON 的磁共振成像序列。然而，我们也遇到了许多挑战，其中包括：熟悉 GON 的复杂解剖结构、了解解剖变异以及设计先进的磁共振成像序列和线圈来对后部头皮进行成像。解决这些障碍对于捕捉和了解 GON 病理以及指导潜在的干预措施至关重要。

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Challenges of Imaging the Greater Occipital Nerve Using Magnetic Resonance Imaging.

Abstract: Migraine headaches are a significant global health concern, frequently managed with varying levels of success. Compression of the greater occipital nerve (GON) is hypothesized to contribute to pathology in some migraine patients, making extracranial nerve decompression surgery a potential intervention for refractory cases. However, accurate methods to image the GON along its tortuous course still need to be explored. Our group has developed magnetic resonance imaging sequences to track the GON. Yet, many challenges were met, which included navigating the GON's complex anatomy, understanding anatomical variants, and designing advanced magnetic resonance imaging sequences and coils to image the posterior scalp. Addressing these hurdles is vital to capture and understand GON pathology and guide potential interventions.

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来源期刊

Annals of Plastic Surgery 医学-外科

CiteScore

2.70

自引率

13.30%

发文量

584

审稿时长

6 months

期刊介绍： The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.