Chief complain:
Right hand paralysis with complete loss muscle power since birth

Birth history
Normal spontaneous delivery with gestational age 37+6 weeks.
Birthbody weight: 4450gm. G2P2
Apgar score: 6 (at 1st min) to 9 (at 5th min).
Diabetes mellitus of mother under diet control with blood sugar around 130-140 gm/dl

1.5 Tesla MRI of cervical spine with isotropic three-dimensional T2
 weighted echo train spin echo with parallel imaging, extended echo
 train acquisition, and half-Fourier acquisition (3D-FSE-Cube) with
 multiplanar reconstruction, T2 weighted echo train spin echo with
 iterative decomposition of water and fat with echo asymmetry and
 least-squares estimation (IDEAL), and with intravenous
 gadolinium-enhanced images:

1. A 0.5cm small long T2 cystic lesion in right lateral spinal canal
   with direct extension of right C7-T1 neural foramen, compatible
   with pseudomeningocele from brachial plexus injury with
   right C8 nerve root injury (Fig 1-3).
2. Soft tissue long T2 swelling with mild contrast enhancement
   along right lateral neck, compatible with trauma history
   (Fig 4,5).

Case Number: 30200587Last Updated: 08-12-2009
Anatomy: Spine and Peripheral Nervous System   Pathology: Trauma
Modality: MRAccess Level: Readable by all users
Keywords: brachial plexus, pseudomeningoceleACR: 349.492

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