Hypesthesia: Difference between revisions
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==Overview== | ==Overview== | ||
'''Hypesthesia''' refers to sensory loss that usually occurs secondary to a problem in the nervous system. Usually coupled with paresthiasis (an abnormal sensation; e.g. [[tingling]] or [[numbness]]) | '''Hypesthesia''' refers to sensory loss that usually occurs secondary to a problem in the nervous system. Usually coupled with paresthiasis (an abnormal sensation; e.g. [[tingling]] or [[numbness]]) | ||
== | ==Causes== | ||
In | ==Causes In Alphabetical Order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>== | ||
* Aura of [[migraine]] | * Aura of [[migraine]] | ||
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== References == | == References == | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
Revision as of 02:39, 30 July 2012
| Hypesthesia |
Template:Search infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Hypesthesia refers to sensory loss that usually occurs secondary to a problem in the nervous system. Usually coupled with paresthiasis (an abnormal sensation; e.g. tingling or numbness)
Causes
Causes In Alphabetical Order. [1] [2]
- Aura of migraine
- Brainstem lesion
- Cauda equina syndrome
- Cerebral abscess
- Cortical lesion
- Deficiency status
- Inflammatory peripheral neuropathy
- Inherited peripheral neuropathy
- Metabolic peripheral neuropathy
- Mononeuropathy
- Myelopathy
- Paraneoplastic neuropathy
- Plexopathy
- Radiculopathy
- Simple partial seizure
- Subcortical lesions
- Syringomyelia
- Toxic peripheral neuropathy
- Transient ischemic attacks
Diagnosis
History and Symptoms
- Onset (tempo)
- Distribution of paresthesias or hypesthesia
Laboratory Findings
- Complete blood count (CBC)
- Serum protein electrophoresis (SPEP)
- Rheumatoid factor
- Antinuclear antibody
- HIV
- Rapid plasma reagin (RPR)
- Vitamin B12
- Thyroid function tests
- Folate
- Heavy metals
- Hemoglobin A1c
MRI and CT
Other Imaging Findings
Other Diagnostic Studies
- Nerve conduction studies
- Genetic testing
Treatment
- Treat underlying etiologies
- Alleviate offending causes
- Physical therapy
Pharmacotherapy
Acute Pharmacotherapies
- Tricyclic antidepressants
- Anticonvulsants
- Topical preparations
- Epidural injections
- Steroids
- Interferon
- Glatiramer acetate
- Mitoxantrome
Surgery and Device Based Therapy
- Surgical intervention for compressive myelopathies and some cases of radiculopathy