Contrast-enhanced ultrasound in combined injuries of peripheral nerves and vessels (clinical case)

Abstract

We present a case of contrast-enhanced ultrasound (CEUS) used in surgery for blood vessels and nerves combined trauma. This case reveals CEUS potential in differentiation of compression-ischemic neuropathy along with perineural fibrosis from intrastem neuroma and complete anatomical interruption of the median and ulnar nerves. CEUS also helped to clarify the vascular lesion — we detected a false ulnar aneurysm and radial artery occlusion. Therefore, the use of CEUS has influenced the surgical management. This method allows expanding the potential for nerve damage diagnostics, and, given further technical progress, has great clinical prospects.