Abstract #1202

Evaluation of Brachial Plexus Injuries in Infants with DTI and Tractography

Meltem Karatas¹, Kader Karli Oguz^1,2,3, Gulgun Sengul⁴, Akin Uzumcugil⁵, and Gokcen Coban²

¹National Magnetic Resonance Research Center (UMRAM), Bilkent University, Ankara, Turkey, ²Department of Radiology, Hacettepe University, Ankara, Turkey, ³Department of Radiology, University of California, Davis, Sacramento, CA, United States, ⁴Department of Anatomy, Ege University, Izmir, Turkey, ⁵Department of Orthopedics and Traumatology, Hacettepe University, Ankara, Turkey

Synopsis

Keywords: Nerves, Diffusion Tensor Imaging, Brachial plexus, peripheral nerve tractography

Neonatal brachial plexus injury (NBPI) is caused by traction on the neck during birth and presents with flaccid paralysis of the upper extremity. 10-20% of the cases result in neurological sequelae and require surgical intervention; the treatment decisions principally depend on the clinical assessments through the first six months of life. Early stratification of NBPI cases may lead to earlier intervention for severe injuries, better disease outcomes, and higher quality of life. Here, we investigated the use of DTI and tractography for infants with NBPI; our results suggest that this approach might be suitable as a diagnostic and prognostic tool.

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