Abstract
Lumbosacral nerve root avulsion uncommonly complicates major trauma. Most patients also have pelvic or lumbar fractures. We present a patient who had a high-velocity vehicle accident with traumatic hip dislocation without fractures of the spine or pelvis. MRI demonstrated lumbosacral traumatic pseudomeningoceles. We used balanced fast field echo and MR myelography to make the diagnosis and show the extent of the pseudomeningocele.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Chin CH, Chew KC (1997) Lumbosacral nerve root avulsion. Injury 28: 674–678
Freedy RM, Miller KD Jr, Eick JJ, Granke DS (1989) Traumatic lumbosacral nerve root avulsion: evaluation by MR imaging. J Comput Assist Tomogr 13: 1052–1057
Kolawole TM, Hawass ND, Shaheen MA, Badr AH, Rahman NU (1988) Lumbosacral plexus avulsion injury: clinical, myelographic and computerized tomographic features. J Trauma 28: 861–865
Maillard JC, Zouaoui A, Bencherif B, Bouayed N, Chedid G, Marsault C (1992) Imaging in the exploration of lumbosacral plexus avulsion. Two cases. J Neuroradiol 19: 38–48
Verstraete KL, Martens F, Smeets P, et al (1989) Traumatic lumbosacral nerve root meningoceles. The value of myelography, CT and MRI in the assessment of nerve root continuity. Neuroradiology 31: 425–429
Polyzoidis K, Petropoulou C, Argyropoulou PI, Vranos G, Sarmas I, Argyropoulou MI (2002) Lumbar nerve root avulsions with secondary ipsilateral hip dysplasia in a child. Neuroradiology 44: 780–782
Moschilla G, Song S, Chakera T (2001) Post-traumatic lumbar nerve root avulsion. Australas Radiol 45: 281–284
Duerk JL, Lewin JS, Wendt M, Petersilge C (1998) Remember true FISP? A high SNR, near 1-second imaging method for T2-like contrast in interventional MRI at .2 T. J Magn Reson Imaging 8: 203–208
Spuentrup E, Bornert P, Botnar RM, Groen JP, Manning WJ, Stuber M (2002) Navigator-gated free-breathing three-dimensional balanced fast field echo (TrueFISP) coronary magnetic resonance angiography. Invest Radiol 37: 637–642
Carvalho GA, Nikkhah G, Matthies C, Penkert G, Samii M (1997) Diagnosis of root avulsions in traumatic brachial plexus injuries: value of computerized tomography myelography and magnetic resonance imaging. J Neurosurg 86: 69–76
Reck A, Soutter JW, Eisenscher A, Adinowsky JW, Edel L (1987) Avulsion radiculaire L5-S1 post-traumatique. Exploration myelographique et tomodensitometrique. J Radiol 68: 447–450
Huittinen VM (1972) Lumbosacral nerve injury in fracture of the pelvis. A postmortem radiographic and patho-anatomical study. Acta Chir Scand [Suppl 429]: 3–43
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hans, F.J., Reinges, M.H. & Krings, T. Lumbar nerve root avulsion following trauma: balanced fast field-echo MRI. Neuroradiology 46, 144–147 (2004). https://doi.org/10.1007/s00234-003-1139-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00234-003-1139-1