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 Indian J Med Microbiol  
 

Figure 6 (A-C): Moderate to severe stretch injury (Sunderland grade III). A 51 year old male, status post motor vehicle accident, ankle fixation, and knee arthroscopy developed left sciatic distribution weakness over the course of treatment. The patient continued to have weakness for 6 months from the original injury and severe left sciatic neuropathy on EMG. Axial T2 SPAIR image (A) demonstrates moderate left sciatic hyperintensity with homogeneous signal intensity and preserved fascicular appearance (arrow). Maximum Intensity Projection (MIP) reconstruction from coronal 3D STIR SPACE (B) confirms asymmetric hyperintensity of the left sciatic nerve (arrows). Coronal fat-suppressed proton density image of the lower extremities (C) shows subacute denervation of the left thigh muscles. Notice the abnormal left sciatic nerve (arrow) hyperintensity. Findings are in keeping with moderate to severe stretch injury (Sunderland grade III injury), which was managed conservatively resulting in slow and incomplete recovery

Figure 6 (A-C): Moderate to severe stretch injury (Sunderland grade III). A 51 year old male, status post motor vehicle accident, ankle fixation, and knee arthroscopy developed left sciatic distribution weakness over the course of treatment. The patient continued to have weakness for 6 months from the original injury and severe left sciatic neuropathy on EMG. Axial T2 SPAIR image (A) demonstrates moderate left sciatic hyperintensity with homogeneous signal intensity and preserved fascicular appearance (arrow). Maximum Intensity Projection (MIP) reconstruction from coronal 3D STIR SPACE (B) confirms asymmetric hyperintensity of the left sciatic nerve (arrows). Coronal fat-suppressed proton density image of the lower extremities (C) shows subacute denervation of the left thigh muscles. Notice the abnormal left sciatic nerve (arrow) hyperintensity. Findings are in keeping with moderate to severe stretch injury (Sunderland grade III injury), which was managed conservatively resulting in slow and incomplete recovery