CT-clinical approach to patients with symptoms related to the V, VII, IX-XII cranial nerves and cervical sympathetics

Conference · Fri Jun 01 04:00:00 EDT 1984 · Radiology; (United States)

OSTI ID:6581338

Kalovidouris, A; Mancuso, A A; Dillon, W

Forty-three patients who had signs and symptoms possibly related to the extracranial course of cranial nerves V, VII, IX, X-XII, and the cervical sympathetics were examined prospectively using high resolution CT to obtain images of thin sections during rapid drip infusion of contrast material. Anatomic areas in the scan protocols included the posterior fossa, cavernous and paranasal sinuses, skull base, temporal bone, nasopharynx, parotid gland, tongue base, and neck. Nine of the 23 patients with possible fifth nerve deficits had extracranial structural lesions that explained the symptoms; none of these nine, however, had typical trigeminal neuralgia. Of eight patients with peripheral seventh nerve abnormalities, two had positive findings on scans. Of five patients presenting with referred ear pain, three had carcinoma of the upper aerodigestive tract. The authors' experience suggests that patients at high risk for structural lesions responsible for cranial nerve deficits can be selected by clinical criteria. Protocols for each clinical setting are presented.

• Research Organization: Areteion Hospital, Athens, Greece
• OSTI ID: 6581338
• Report Number(s): CONF-8311191-
• Conference Information: Journal Name: Radiology; (United States) Journal Volume: 151:3
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
AUTONOMIC NERVOUS SYSTEM
BODY
BODY AREAS
CARCINOMAS
COMPUTERIZED TOMOGRAPHY
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
DISEASES
HEAD
NEOPLASMS
NERVES
NERVOUS SYSTEM
NERVOUS SYSTEM DISEASES
ORGANS
PATIENTS
PHARYNX
RESPIRATORY SYSTEM
SINUSES
SKELETON
SKULL
TOMOGRAPHY