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Book Details
Abstract
Neuromuscular Ultrasound demonstrates the use of ultrasound as an alternative to electrodiagnosis in the evaluation of neuromuscular disorders through detailed descriptions and clear illustrations. Drs. Francis Walker and Michael S. Cartwright discuss techniques for visualizing muscles and nerves without painful testing for better patient compliance and more efficient diagnosis. Color illustrations, pearls for the clinician, and ultrasound videos online at www.expertconsult.com, ensure that you’ll be able to apply this technology effectively in your practice.
- Access the fully searchable text online at www.expertconsult.com, along with ultrasound videos that demonstrate ultrasound evaluation in real time.
- Diagnose and manage your patients more quickly and easily by visualizing muscles and nerves without painful testing.
- Master the nuances of using ultrasound through the visual instruction of clear images and illustrations.
- Minimize patient discomfort while maximizing optimal patient evaluation with a practical focus that covers using ultrasound as a screening tool, provides clinical pearls, and includes comparisons to electrodiagnosis.
- Apply the full range of ultrasound applications, including interventional uses (such as ultrasound-guided botulinum toxin and steroid injections), ultrasound of polyneuropathies (often found in diabetics), and more.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Neuromuscular Ultrasound | i | ||
| Copyright | ii | ||
| Contributors | iii | ||
| Preface | v | ||
| Acknowledgments | vi | ||
| Contents | vii | ||
| Chapter 1 - Basic Principles of Ultrasound | 1 | ||
| Overview | 1 | ||
| Getting Started: Obtaining an Image | 3 | ||
| The Transducer | 5 | ||
| Sound Pulse Technology | 7 | ||
| The Relationship Between Propagation and Harmonics | 9 | ||
| Ultrasound Instrument Function: Driving the Transducer and Image Display | 12 | ||
| Quantifying Ultrasound Findings | 16 | ||
| Artifacts | 19 | ||
| Conclusion | 21 | ||
| References | 22 | ||
| Chapter 2 - Ultrasound of Peripheral Nerves | 24 | ||
| Principles of Neuromuscular Ultrasonography | 25 | ||
| Advanced Ultrasonographic Techniques | 26 | ||
| High-Resolution Ultrasound of Peripheral Nerves | 27 | ||
| Spectrum of Nerve Abnormalities | 31 | ||
| Ultrasonographic Techniques: Probe Placement and Views | 33 | ||
| References | 36 | ||
| Chapter 3 - Ultrasound of Muscle | 37 | ||
| Basics of Ultrasound Physics in Relation to Muscle Ultrasound Imaging | 37 | ||
| Normal Muscle | 40 | ||
| Muscle Ultrasound in Neuromuscular Disorders | 45 | ||
| Muscle Ultrasound in Clinical Practice: Measurement Protocol | 46 | ||
| Quantifying Muscle Ultrasound | 48 | ||
| Dynamic Muscle Ultrasound | 51 | ||
| Dynamic Ultrasound in Clinical Practice | 54 | ||
| References | 55 | ||
| Chapter 4 - Basic Approach to Ultrasound of Other Structures in the | 57 | ||
| Cystic or Partially Cystic Soft-Tissue Masses | 57 | ||
| Solid Soft-Tissue Masses of the Extremities | 61 | ||
| Disorders of Peripheral Veins and Arteries | 65 | ||
| Miscellaneous Findings and Artifacts That May Simulate Disease | 68 | ||
| Conclusion | 70 | ||
| References | 70 | ||
| Chapter 5 - Ultrasound of Focal Neuropathies | 72 | ||
| Median Nerve | 74 | ||
| Ulnar Nerve | 76 | ||
| Radial Nerve | 79 | ||
| Other Upper Extremity Nerves | 81 | ||
| Sciatic Nerve | 83 | ||
| Peroneal Nerve | 84 | ||
| Tibial Nerve | 85 | ||
| Other Lower Extremity Nerves | 86 | ||
| Conclusion | 87 | ||
| References | 88 | ||
| Chapter 6 - Ultrasound of the Brachial Plexus | 91 | ||
| Equipment, Terminology, and Limitations of Ultrasound | 91 | ||
| Ultrasound Appearance of Tissues | 92 | ||
| Solution Injection and Effects on Imaging and Stimulation | 101 | ||
| Indications for Ultrasound Imaging of the Brachial Plexus | 101 | ||
| Ultrasound for Evaluation of Brachial Plexus Pathology | 103 | ||
| Conclusion | 104 | ||
| References | 105 | ||
| Chapter 7 - Ultrasound of | 106 | ||
| A Few Words on Getting Started | 106 | ||
| Immune-Mediated Neuropathies | 107 | ||
| Hereditary Neuropathies | 111 | ||
| Other Acquired Neuropathies | 114 | ||
| Conclusion | 116 | ||
| References | 116 | ||
| Chapter 8 - Ultrasound of Motor Neuron Disease | 118 | ||
| Imaging in Motor Neuron Disease | 118 | ||
| Surrogate Marker of Disease Progression | 122 | ||
| Conclusion | 123 | ||
| References | 123 | ||
| Chapter 9 - Ultrasound of Inflammatory Myopathies | 125 | ||
| B-Mode Ultrasound Dynamic Evaluation of Muscle Weakness in Myositis | 125 | ||
| Standard B-Mode Ultrasound in Inflammatory Myopathy | 125 | ||
| Doppler Ultrasound in Inflammatory Myopathies | 126 | ||
| Contrast-Enhanced Ultrasound | 127 | ||
| Disease-Specific Findings | 127 | ||
| Conclusion | 130 | ||
| References | 130 | ||
| Chapter 10 - Ultrasound of Muscular | 131 | ||
| The Normal Examination | 131 | ||
| Muscle Pathology Seen with Ultrasound in Neuromuscular Disease | 136 | ||
| Neuromuscular Ultrasound as a Diagnostic Tool | 140 | ||
| Ultrasound Abnormalities in Inherited Myopathies | 141 | ||
| Conclusion | 147 | ||
| References | 147 | ||
| Chapter 11 - Interventional Ultrasound | 150 | ||
| General Principles of Ultrasound-Guided Interventions | 150 | ||
| Ultrasound Guidance for Steroid Injections for Carpal Tunnel Syndrome | 152 | ||
| Ultrasound Guidance for Botulinum Toxin Injections | 154 | ||
| Ultrasound-Guided Botulinum Toxin for Sialorrhea | 159 | ||
| Ultrasound Guidance for Regional Anesthesia | 160 | ||
| Ultrasound for Biopsy Guidance | 162 | ||
| Ultrasound for Presurgical Screening | 162 | ||
| Intraoperative Use of Ultrasound | 163 | ||
| Other Interventional Applications of Ultrasound | 163 | ||
| Conclusion | 163 | ||
| References | 164 | ||
| Chapter 12 - Ultrasound as a Complement to Electrodiagnostic Studies | 166 | ||
| The Role of Ultrasound in Nerve Conduction Studies | 167 | ||
| Imaging of Nerve | 168 | ||
| The Role of Ultrasound in Needle EMG | 170 | ||
| Risk of Needle EMG in Anticoagulated Patients | 173 | ||
| Imaging of Muscle | 174 | ||
| The Role of Ultrasound in Education | 176 | ||
| Conclusion | 176 | ||
| References | 176 | ||
| Chapter 13 - Future Directions in Neuromuscular Ultrasound | 177 | ||
| Muscle Ultrasound | 179 | ||
| Nerve Ultrasound | 181 | ||
| Musculoskeletal Mimics of Neuromuscular Disease | 183 | ||
| Small Fiber and Autonomic Nerves | 183 | ||
| Emerging Ultrasound Technologies | 183 | ||
| Practice Issues | 184 | ||
| Conclusion | 184 | ||
| References | 185 | ||
| Appendix A-Neuromuscular Ultrasound Scanning Protocols | 187 | ||
| Appendix B-Neuromuscular Ultrasound Videos | 190 | ||
| Index | 193 |