| A C-fiber-mediated neuropathic brachioradial pruritus. | |
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MedLine Citation:
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PMID: 19817537 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 56-year-old man presented to the outpatient clinic with a 3-year history of itch within the innervation territory of C-6 of the left arm. Sudden neck movements induced intermittent paresthesias in the same dermatome. No dermatological diseases, allergies, or trauma to the affected extremity or the spine or a history of familial pruritus were reported. Neurological physical examination and electromyography revealed normal findings. Quantitative sensory testing demonstrated selective C-fiber dysfunction at C6-8 on the left, and cervical MR imaging revealed multilevel degenerative cervical spine pathology with neuroforaminal stenoses. Brachioradial neuropathic pruritus caused by cervical neuroforaminal stenosis was the final diagnosis. Treatment consisted of 2 cervical epidural steroid applications that resulted in clinical disappearance of the itch and improvement in C-fiber function on quantitative sensory testing. |
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Authors:
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Dirk De Ridder; Guy Hans; Philippe Pals; Tomas Menovsky |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neurosurgery Volume: 113 ISSN: 1933-0693 ISO Abbreviation: J. Neurosurg. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-02 Completed Date: 2010-07-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: United States |
Other Details:
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Languages: eng Pagination: 118-21 Citation Subset: AIM; IM |
Affiliation:
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Brain Research Centre Antwerp for Innovative & Interdisciplinary Neuromodulation and Department of Neurosurgery, University Hospital Antwerp, Edegem, Belgium. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anesthetics, Local
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administration & dosage Anti-Inflammatory Agents / administration & dosage Arm / innervation* Brachial Plexus / physiopathology* Brachial Plexus Neuropathies / drug therapy, physiopathology* Cervical Vertebrae* / physiopathology Drug Therapy, Combination Humans Injections, Epidural Lidocaine / administration & dosage Male Methylprednisolone / administration & dosage Middle Aged Nerve Compression Syndromes / physiopathology* Nerve Fibers, Unmyelinated / physiology* Neurologic Examination Paresthesia / drug therapy, physiopathology* Pruritus / drug therapy, physiopathology* Radial Nerve / physiopathology* Spinal Stenosis / complications*, drug therapy, physiopathology |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Local; 0/Anti-Inflammatory Agents; 137-58-6/Lidocaine; 83-43-2/Methylprednisolone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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