Cheiralgia Paresthetica or Superficial Radial Sensory Mononeuropathy: A Simple Diagnosis, A Simple Solution, and a Side Note on the Pathophysiology of the Tinel Sign.
Autor: | Kesserwani H; Neurology, Flowers Medical Group, Dothan, USA. |
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Jazyk: | angličtina |
Zdroj: | Cureus [Cureus] 2020 Sep 03; Vol. 12 (9), pp. e10224. Date of Electronic Publication: 2020 Sep 03. |
DOI: | 10.7759/cureus.10224 |
Abstrakt: | We describe the case of a sculptor who developed superficial radial neuropathy (SRN) due to blunt trauma from striking a chisel for 30 years. The lesion was localized by the anatomical topography of the superficial radial nerve, a " hot " Tinel sign, and the graphic demonstration of reduced superficial radial sensory amplitude on a nerve conduction study (NCS). Our patient also responded to a strategically placed peripheral nerve block. We go further in this article and adumbrate on the underlying pathophysiology of the very Tinel sign we are so accustomed to, a clinical sign that is frequently deployed to diagnose a variety of peripheral nerve entrapments. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2020, Kesserwani et al.) |
Databáze: | MEDLINE |
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