Abstract
Posterior interosseous nerve palsy, also called deep radial nerve syndrome, is a neuropathy caused by radial nerve entrapment or compression at the level of the supinator muscle. Although imaging studies are not necessary for diagnosing this syndrome because of its characteristic clinical manifestations, the causes of palsy, which include mass lesions, or precise anatomical findings can sometimes be demonstrated by imaging. Magnetic resonance (MR) findings of posterior interosseous nerve palsy have been described as involving atrophy of related muscles caused by denervation, a common secondary change of this nerve disorder. We present a case in which the swollen posterior interosseous nerve itself could be directly depicted by MR imaging using a 4.7-cm microscopy coil in a patient with neuropathy.
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Yamazaki H, Kato H, Hata Y, Murakami N, Saitoh S. The two locations of ganglions causing radial nerve palsy. J Hand Surg Eur 2007;32:341–345.
Andreisek G, Crook DW, Burg D, Marincek B, Weishaupt D. Peripheral neuropathies of the median, radial, and ulnar nerves: MR imaging features. Radiographics 2006;26:1267–1287.
Dunn AJ, Salonen DC, Anastakis DJ. MR imaging findings of anterior interosseous nerve lesions. Skeletal Radiol 2007;36:1155–1162.
Grant GA, Britz GW, Goodkin R, Jarvik JG, Maravilla K, Kliot M. The utility of magnetic resonance imaging in evaluating peripheral nerve disorders. Muscle Nerve 2002;25:314–331.
Ly JQ, Barrett TJ, Beall DP, Bertagnolli R. MRI diagnosis of occult ganglion compression of the posterior interosseous nerve and associated supinator muscle pathology. Clin Imaging 2005;29:362–363.
Nishida J, Shimamura T, Ehara S, Shiraishi H, Sato T, Abe M. Posterior interosseous nerve palsy caused by parosteal lipoma of proximal radius. Skeletal Radiol 1998;27:375–379.
Ganapathy K, Winston T, Seshadri V. Posterior interosseous nerve palsy due to intermuscular lipoma. Surg Neurol 2006;65:495–496.
Ogawa H, Akaike A, Ishimaru D, et al. Posterior interosseous nerve palsy related to rheumatoid synovitis of the elbow. Mod Rheumatol 2007;17:327–329.
Yanagisawa H, Okada K, Sashi R. Posterior interosseous nerve palsy caused by synovial chondromatosis of the elbow joint. Clin Radiol 2001;56:510–514.
Chien AJ, Jamadar DA, Jacobson JA, Hayes CW, Louis DS. Sonography and MR imaging of posterior interosseous nerve syndrome with surgical correlation. AJR Am J Roentgenol 2003;181:219–221.
Ferdinand BD, Rosenberg ZS, Schweitzer ME, Stuchin SA, Jazrawi LM, Lenzo SR, et al. MR imaging features of radial tunnel syndrome: initial experience. Radiology 2006;240:161–168.
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Furuta, T., Okamoto, Y., Tohno, E. et al. Magnetic resonance microscopy imaging of posterior interosseous nerve palsy. Jap J Radiol 27, 41–44 (2009). https://doi.org/10.1007/s11604-008-0290-3
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DOI: https://doi.org/10.1007/s11604-008-0290-3