Der Nervus facialis im Felsenbein in dünnschichtigen paratransversalen und sagittalen magnetresonanztomographischen T1-Spin-Echo- und FLASH-Aufnahmen
- 20 March 1995
- journal article
- research article
- Published by Georg Thieme Verlag KG in RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren
- Vol. 162 (03) , 209-215
- https://doi.org/10.1055/s-2007-1015867
Abstract
It is difficult to effect visualization and delineation of the facial nerve and its neighbouring structures in the temporal bone with conventional MRI examination protocols. We tested temporal bone MRI with 2 mm slices and compared T1-weighted FLASH (TR = 400 ms, TE = 10 ms, 90 degrees flip angle) and spin-echo (TR = 540 ms, TE = 15 ms) sequences. 5 volunteers and 14 patients were examined with the head coil of a 1.0T whole body MRI scanner (Impact, Siemens, Erlangen) with para-transversal images orientated parallel to the inferior outline of the clivus and sagittal images orientated along the brainstem. The facial nerve and its neighbouring structures could be reliably visualized and differentiated along its entire course. The FLASH sequence was superior to the spin-echo sequence. 8 of 11 patients with peripheral facial nerve palsy showed contrast enhancement. In two patients, local swelling of the affected facial nerve was evident. The MRI technique tested here seems promising for temporal bone examinations.Keywords
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