Supplementary Table 4.
Patient subset who underwent surgery
| Patient number | Age | Extent (upper - C5-C7 and its corresponding trunks, lower - C8, T1 and the corresponding distal plexus) | Laterality | Clinical details | Imaging details | Management | Observations for avulsions on individual sequences (minimum 2 weeks eyewash period) | ||
|---|---|---|---|---|---|---|---|---|---|
|
| |||||||||
| SHINKEI | STIR TSE | DWIBS | |||||||
| 1 | 43 | Upper | Right | Right brachial plexopathies. Weakness of right upper limb. Trauma 2 months before scan. NC study. Pan postbrachial plexus injury | Right C6 nerve root hyperintese. Right upper, middle and lower trunks and posterior cord hyperintese | Surgery: Findings - “Damage” to right postganglionic C5 and C6 nerve roots | C7 (false positive) | None | None |
| 7 | 35 | Global | Right | Right brachial plexus injury | Lateral pseudomeningioceles of C6-C8 nerve roots with extension through the neural foramina. C5 to T1 roots are bulky and hyperintese. Entire trunks, division and cord bulky and torturous | Surgery: C5-C8 nerves avulsed | C5-C8 | C6-C8 (one false negative) | C7, C8 (two false negatives) |
| 9 | 20 | Upper | Right | Right upper limb weakness. Difficulty in shoulder abduction and elbow flexion | Bulky and hyperintntense right C5 and C6 nerve roots. With C6 pseudomeningiocele. Sign of avulsion injury | Surgery: C5, C6 nerve root avulsed | C5, C6 | C5, C6 | None (two false negatives) |
| 12 | 22 | Global | Left | Left clavicle fracture and brachial plexus injury | C8, T1 root avulsion with pseudo meningiocele formation. Grade 2 injury of C7 and C8 nerve roots | Surgery: C8, T1 root avulsed | C8, T1 | C8, T1 | None (two false negatives) |
| 15 | 34 | Global | Right | History of RTA a month prior to imaging. Right global brachial plexus injury | Postganglionic C5-C8 appear hyperintese. All the trunks appear hyperintese. Features suggestive of axonotmesis | Surgery: Postganglionic nerve injury | None | None | None |
| 20 | 30 | Global | Right | Right brachial plexus injury | C8, T1 roots Pseudomengiocele along, C5-C7 are bulky, hyperintese. Upper, middle and lower trunks wavy. Divisions, and nerves arising from them are hyperintense.oedema in one of the back muscles | Surgery: C5 to T1 fibrosed | C6 to T1 (one false negative) | C8, T1 (three false negatives) | C8, T1 (three false negatives) |
| 21 | 29 | Global | Left | RTA clavicle fracture | Traumatic avulsion of C6-C8 rootlets. Possible neurotmesis injury at upper left trunk | Surgery: C6-C8 fibrosed | C7, C8 (one false negative) | C6-C8 | C7, C8 (one false negative) |
Data regarding detection of preganglionic nerve roots. NC: Nerve conduction, RTA: Renal tubular acidosis, SHINKEI: SHeath signal increased with INKed rest-tissue RARE Imaging, STIR TSE: Short-term inversion recovery turbo spin echo, DWIBS: Diffusion weighted imaging with background signal suppression