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Sensory Examination
Published in J. Terrence Jose Jerome, Clinical Examination of the Hand, 2022
Tactile or touch sensation (thigmesthesia):Anesthesia: Absence of touch appreciationHypoesthesia: Decrease of touch appreciationHyperesthesia: Exaggeration of touch sensation, which is often unpleasant
Hysteria
Published in Francis X. Dercum, Rest, Suggestion, 2019
Again, when we study the symptoms of a given sensory loss closely, e.g., a hemianesthesia, we usually find that the patient does really feel, but says that he does not feel as well upon the anesthetic as upon the opposite side of the body; in other words, the symptom developed is that merely of a diminished sensation, a condition which has received the name of hypoesthesia or hypesthesia. When the test is being made, the question of itself—for the test is a question even when the physician does not ask it in words—arouses first a doubt in the patient's mind, followed immediately by a realization that the physician expects to find no feeling in the part and finally that there is no feeling. The mental phases are in rapid succession; "Do I feel it?" "I don't feel it as well as on the other side." "No, I don't feel it." In keeping with this fact, a sensory loss mild at first—a hypesthesia—frequently passes into one that is pronounced—an anesthesia. Especially is this apt to ensue in a much-examined case.
Contractures of muscles
Published in Benjamin Joseph, Selvadurai Nayagam, Randall Loder, Ian Torode, Paediatric Orthopaedics, 2016
The sensations in the zones of the median or ulnar nerves may be compromised as a result of ischaemia of these nerves. The sensory loss may vary from hypoaesthesia to anaesthesia. There may also be some loss of sensation in the forearm and this may increase the risk of plaster sores if sequential casting is being considered as a form of treatment.
Post-traumatic glomus tumor of the left anterior supraclavicular nerve: a case report
Published in Neurological Research, 2023
Alessandra Turrini, Guido Staffa, Giulio Rossi, Crescenzo Capone
A few months after a seat belt trauma resulting from a car accident, a 55-year-old Caucasian man began to suffer from worsening neuralgia along the pathway of the left superior and inferior supraclavicular nerves which progressed over the course of 10 years. There were no other pathologies related to clinical history. The pain was persistent, associated with spontaneous hypoesthesia, and exacerbated by simple daily movements. On physical examination, a palpable mass in the left supraclavicular area was detected and the response to the Tinel test was highly positive. Prior to coming under our observation, the patient had already performed Computed Tomography (CT) of the chest and Positron Emission Tomography scans that excluded other malignancies. His most recent Magnetic Resonance Imaging (MRI) showed the enhancement of a neuroma-like lesion (20x10 mm), with the typical fusiform shape, along the course of the left cervical plexus (Figure 1a–d).
A direct transcutaneous approach to infraorbital nerve biopsy
Published in Orbit, 2022
Kelly H. Yom, Brittany A. Simmons, Lauren E. Hock, Nasreen A. Syed, Keith D. Carter, Matthew J. Thurtell, Erin M. Shriver
To our knowledge, a transcutaneous approach for biopsy of the infraorbital nerve has not yet been described in the literature. As with all surgical procedures, it is important for the surgeon to counsel patients preoperatively and to be aware of the local anatomy. In this case series, four patients underwent minimally invasive transcutaneous infraorbital nerve biopsy, and findings from biopsy were sufficient for diagnosis of perineural invasion of squamous cell carcinoma. All patients had V2 hypoesthesia prior to surgery. If patients present with partial V2 hypoesthesia, they should be counseled that total hypoesthesia may be an expected sequela of the procedure. Postoperatively, all cases displayed good wound healing of the surgical site with no adverse events and no complaints of new or worsening symptoms. Understanding the anatomy of the infraorbital region and infraorbital nerve is necessary to guide the biopsy and prevent iatrogenic injury to surrounding structures.44–46 The infraorbital nerve can be located at its egress from the infraorbital foramen and is often palpable. When palpation is difficult, anatomic landmarks can help predict the location of the infraorbital foramen (Figure 3). Surgeons must be aware of the variations in infraorbital nerve anatomy. Multiple nerve foramina and offshoots of the infraorbital nerve have been reported, and knowledge of these possible variants will allow for proper localization and biopsy of the nerve.46,48
Trigeminal schwannoma: a single-center experience with 43 cases and review of literature
Published in British Journal of Neurosurgery, 2021
Mingchu Li, Xu Wang, Ge Chen, Jiantao Liang, Hongchuan Guo, Gang Song, Yuhai Bao
Among all 43 patients, 21 patients were male, and the age of these patients ranged within 21–66 years old (mean: 45.3 ± 13.5 years old). Facial numbness and hypoesthesia were the most common symptoms, which developed in 29 cases (67.4%). Typical trigeminal neuralgia was complained by four patients (9.3%), trigeminal motor impairment developed in nine patients (20.9%), and symptoms induced by the increase in ICP, such as headache and vomiting, developed in nine patients (20.9%). Oculomotor nerve paralysis developed in four patients (9.3%), abducent paralysis was observed in nine patients (20.9%), and four patients (9.3%) presented with hearing decrease. Symptoms induced by brainstem compression were observed in six patients (14.0%), while four patients (9.3%) presented with cerebellar signs. Furthermore, one patient was asymptomatic, and the TS was detected during a routine health examination. The preoperative baseline information is shown in Table 1.