Title: High Resolution Ultrasonographic Evaluation of Peripheral Nerves in Leprosy- A Prospective Study

Authors: Dr C.Madhusudhan, Dr N.L.N.Moorthy, Dr B. Udaykumar, Dr M. Ravikumar, Dr B.Sumitra

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i1.114

Abstract

Leprosy, also called Hansen’s disease is a chronic slow growing treatable disease that involves skin and peripheral nerves. If not treated will progress to produce permanent damage of peripheral nerves resulting in paralysis of muscles and limbs affected. In the present study high resolution ultrasound along with Color Doppler evaluation of commonly affected peripheral nerves in 40 leprosy patients with controls was done to assess the morphological changes in them.

Keywords: leprosy, peripheral nerves- ultrasound.

References

  1. Boehm J,Scheidl E, Bereczki D,Schelle T, Aranyi Z High resolution ultrasonography of peripheral nerves: measurement on 14 nerve segments in 56 healthy subjects and reliability assessments. Ultraschall Med 2014 oct: 35(5) ;459-67.
  2. Ashwin D Lawande, Sudhir S Warrier and Mukund S Joshi Role of ultrasound in evaluation of peripheral nerves Indian J Radiol Imaging 2014 jul-sep;24(3) : p 254-258.
  3. Suman Jain, Leo H Visser, T.L.N.Praveen, P.Narasimha Rao, Thummakunta  Surekha, Ramesh Ellanti, Thummakunta L.N. Abhishek, Indira NathHigh resolution sonography: a  new technique to detect nerve damage in leprosy PLoS Negl Trop Dis 2009 3(8): vol3 issue 8   e 498
  4. Muhammed Afsal, Veena Chowdhury, Anjali Prakash, Sapna Singh, Neera Chowdhury Evaluation of peripheral nerve lesions with high resolution ultrasonography and color  Doppler Neurol India 2016 ; vol 64:issue 5  p1002-9
  5. Visser High resolution ultrasound in peripheral neuropathies- 3rd congress of the European academy of neurology Amsterdam, the Netherlands June 24-27 2017
  6. Martinoli C,Derchi LE, Bertolotto M, Gandolfo N,Bianchi S, Fiallo P, Nunzi F US and MR imaging of peripheral nerves in leprosy. Skeletal Radiol 2000 Mar;29(3): 142-50
  7. Suman Jain, Leo H.Visser, Muralidhar Reddy .Yerasu, Renuka Raju, A.K. Meena, B. Lokesh, Sujai Suneetha Use of high resolution ultrasonography as an additional tool in the diagnosis of primary neuritic leprosy: a case report Lepr Rev (2013) 84, 161-165.
  8. Amit Kharat, Dhaval K Thakkar,Mansi Jantre, Amarjit Singh Role of high –resolution ultrasound in diagnosis and follow –up of leprosy patients. Med J DY Patil Univ 2014;7:686-7.
  9. Helena Barbosa Lugao, Marcello Henrique Nogueira-Barbosa, Wilson Marques Jr, Norma Tiraboschi Foss, Marco Andrey Cipriani Frade Asymmetric nerve enlargement: a characteristic of leprosy neuropathy demonstrated by Ultrasonography PLoS Negl Dis   2015 9(12 )  e0004276
  10. Narasimha Rao,Suman Jain Newer management options in leprosy Indian J Dermatol 2013;58:6-11
  11. Suman Jain  MBBS, DCH, Leo H.Visser MD,PhD, DTM&H, Sujai Suneetha MBBS, DCP, Ph.D Imaging techniques in leprosy clinics Clinics in Dermatology janury-february 2016 vol34 issue 1 p70-78.

Corresponding Author

Dr N.L.N. Moorthy

Prof and Head Radio Diagnosis, Apollo Medical College,

Murukambattu Post Chittoor 517127 A.P

Mobile; 9848041825, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.