Poster électronique

Les nerfs crâniens dans le sinus caverneux en IRM 3 Tesla : séquence 3D écho de gradient T1 avec gadolinium
L. Giré, N. Vignon, P. Giré, B. Guiu, A. Régis, D. Ben Salem, D. Krausé, F. Ricolfi - Dijon - France
Congrès 2007
Résumé
Objectifs
Décrire l'apport de l'IRM 3T dans l'exploration des nerfs crâniens dans les sinus caverneux (SC) avec une séquence de routine 3D Echo de Gradient T1 gadolinium, infra-millimétrique avec voxel isotropique.
Matériels et méthodes
Etude rétrospective sur 10 patients (20 Sinus Caverneux). 3D T1 TurboFlash MP-RAGE après gadolinium. Voxel 0,7*0,7*0,7 mm. Temps acquisition 4'52'. Analyse en MPR et identification des nerfs III, IV, V1, V2 et VI dans tous leurs trajets selon une segmentation intra-caverneuse prédéfinie.
Résultats
Visualisation des nerfs : le III sur l'ensemble de son trajet dans 100 % des cas. Le IV dans 65 % des cas lors de sa pénétration dans le SC, 20 % des cas dans partie moyenne du SC, 10 % des cas dans partie antérieure du SC. Le V1 dans 95 % des cas, le V2 dans 100 % des cas. Le VI dans 100 % des cas dans le canal de Dorello et la partie postérieure du SC, dans 90 % des cas dans la partie moyenne et antérieure du SC.
Conclusion
En IRM 3T, la séquence 3D EGT1 gadolinium isotropique réalisée en routine, avec un temps d'acquisition court, permet la visualisation des nerfs III, V et VI dans le sinus caverneux. L'identification du nerf trochléaire IV reste difficile, en raison de son petit diamètre (1 mm).
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2016-05-07 09.51 :
Deepak Jha

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2016-05-07 09.50 :
Deepak Jha

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2016-05-07 09.49 :
Deepak Jha

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2015-07-14 12.57 :
Akash Singh

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