• Title/Summary/Keyword: Hypoesthesia

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Hypoesthesia after IAN block anesthesia with lidocaine: management of mild to moderate nerve injury

  • Moon, Sungjoo;Lee, Seung-Jong;Kim, Euiseong;Lee, Chan-Young
    • Restorative Dentistry and Endodontics
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    • v.37 no.4
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    • pp.232-235
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    • 2012
  • Hypoesthesia after an inferior alveolar nerve (IAN) block does not commonly occur, but some cases are reported. The causes of hypoesthesia include a needle injury or toxicity of local anesthetic agents, and the incidence itself can cause stress to both dentists and patients. This case presents a hypoesthesia on mental nerve area followed by IAN block anesthesia with 2% lidocaine. Prescription of steroids for a week was performed and periodic follow up was done. After 1 wk, the symptoms got much better and after 4 mon, hypoesthesia completely disappeared. During this healing period, only early steroid medication was prescribed. In most cases, hypoesthesia is resolved within 6 mon, but being aware of etiology and the treatment options of hypoesthesia is important. Because the hypoesthesia caused by IAN block anesthesia is a mild to moderate nerve injury, early detection of symptom and prescription of steroids could be helpful for improvement of the hypoesthesia.

A Case Report of Korean Medicine Treatment of Lateral Medullary Infarction with Central Dizziness and Hypoesthesia (중추성 현훈 및 감각저하를 호소하는 외측연수경색 환자에 대한 한의 치료 증례보고 1례)

  • Yang, Ji-hae;Kang, Jie-yoon;Chae, In-cheol;Choi, In-woo;Ryu, Ju-young;Yoo, Ho-ryong;Kim, Yoon-sik;Seol, In-chan
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.982-990
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    • 2021
  • Objectives: The aim of this study was to report the effectiveness of Korean medicine treatment for a patient with lateral medullary infarction who presented with central dizziness and hypoesthesia. Methods: The patient was treated with Korean medicine treatment, including acupuncture, moxibustion, and herbal medicine. We measured the progress of the case using the Numerical Rating Scale (NRS). Results: After the treatment, the NRS scores for dizziness and hypoesthesia decreased. Conclusions: This study suggests that Korean medicine treatment might be effective for lateral medullary infarction in patients who present with central dizziness and hypoesthesia.

Case Report of Hypoesthesia of Lower Limb with Additional CP Pharmacopuncture (CP약침 치료를 병행한 하지 감각저하 환자 치험 1례)

  • Chung, Yeon Joong;Lee, Hyun-Jong;Lee, Yun Kyu;Lee, Jung Hee;Gong, Han Mi;Jun, Seung Ah;Lee, Bong Hyo;Kim, Jae Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.33 no.2
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    • pp.158-162
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    • 2019
  • This study is to show the clinical effect of additional CP Pharmacopuncture on hypoesthesia of lower limb which was occurred by laminectomy. The patients were treated using CP Pharmacopuncture, and other treatments including acupunture, moxibustion and herbal medication. The effect of treatment was measured by Numeric Rating Scale(NRS) and American Spinal Injury Association(ASIA) scale. After treatment, NRS was gradully reduced and ASIA scale's score was incresed. These results suggest that CP Pharmacopuncture might be a possible therapeutic option for hypoesthesia of lower limb which was occurred by laminectomy.

A Case Report of Combining Korean Medicine Treatment with Chuna Manual Therapy for Cervical and Lumbar Pain and Hypoesthesia of the Limbs After Total Spondylectomy for Giant Cell Tumor of the Cervical Spine (경추거대세포종에 대한 전척추제거술 후 발생한 경요추부 통증 및 사지부 감각저하에 대한 추나요법을 포함한 한방치료 증례보고 1례)

  • Ji-eun Bae;Jae-won Park;Jun-kyu Lim;Da-hyun Kyung;Ji-won Park;Si-won Lee;Mi-so Park
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.17 no.2
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    • pp.73-80
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    • 2022
  • Objectives This study aimed to report the effects of giant cell tumor treatment to a patient who had cervical and lumbar pain and hypoesthesia of the limbs after total spondylectomy with Korean medicine. Methods A 67-year-old female patient with cervical and lumbar pain and hypoesthesia of the limbs after total spondylectomy was treated with herbal medicine (Cheongpa-jeon, Yukkongbaro-hwa), acupuncture, pharmacopuncture, and physical therapy for 36 days. The effects were evaluated using a numerical rating scale (NRS), Neck Disability Index (NDI), Oswestry Disability Index (ODI), and EuroQoL-5D (EQ-5D). Results After treatment, changes were observed in the patient's pain and hypoesthesia. NRS, NDI, ODI, and EQ-5D scores decreased. Conclusions This case study suggests that Korean medicine treatment may be effective for symptomatic treatment in patients with giant cell tumor following total spondylectomy.

A Study on the Effects of Topical Anesthesia to Pressure Pain Threshold of the Masticatory and Cervical Muscles (표면마취가 저작근 및 경부군의 압력통각역치에 끼치는 영향에 관한 연구)

  • Shin, Min
    • Journal of Oral Medicine and Pain
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    • v.22 no.1
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    • pp.183-192
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    • 1997
  • Pressure pain thresholds are routinely used in orofacial pain research to evaluate the response of deep orofacial tissues to mechanical stimulation. Like other psychophysical measurements, however, this technique must stimulate cutaneous tissues before stimulating deeper tissues. This study aimed at evaluating the influence of the cutaneous hypoesthesia on the pressure pain threshold in 30 healthy volunteers. PPTs were determined with electric pressure algometry over masseter, temporalis anterior, sternocleidomastoid, and trapezius muscle before and after skin hypoesthesia. A local anesthetic cream and a control cream were applied following a placebo-controlled double-blind design and PPTs were reassessed. Two examiners measured PPTs two times on each muscles, randomly. And the EMG activity of all muscles were measured to evaluate the relationship with PPTs. The collected data were processed by SAS/STAT program. The obtained results were as follows : 1. There were a tendency to increase PPTs after than before cutaneous hypoesthesia, but, there were no significant difference statistically. 2. PPTs were consistently higher in anterior temporalis than in masseter muscle. 3. In all occasions, PPTs were higher in males than in females(p<0.001). 4. A statistically significant correlation was obtained from values of intra-examiners and inter-examiners in all measured muscles. 5. A significantly positive correlation was not found between PPT and functional EMG activity.

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Combined Korean Medicine Treatment of Paraplegia Cause by Spinal Cord Infarction: Case Report (척수경색으로 인한 하지마비 환자의 복합한방치료: 증례보고)

  • Jeong, JiHong;Kim, SoonJoong
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.1
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    • pp.175-185
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    • 2021
  • The objective of this study was to purpose korean medicine treatment for paraplegia and hypoesthesia after spinal cord infarction, and report its effectiveness. We treated a 74-year-old male patient diagnosed with spinal cord infarction using various methods, including acupuncture, herbal medication, moxibustion, physical therapy, western medication. We evaluated patient's motor ability using the manual muscle test (MMT), active range of motion (AROM), walking index for spinal cord injury II( WISCI II) and sense ability using International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI). After treatment, motor and sense ability of patient was improved after treatment. The MMT, AROM, WISCI II scores and ISNCSCI scores were numerically improved. According to these results, this study suggested effectiveness of combined Korean medical treatment for spinal cord infarction. However, More studies are required in the future.

The Clinical Report on 1 Case of Failed Back Surgery Syndrome Who were Diagnosed as the Cauda Equina Syndrome using Hominis Placenta Pharmacopuncture (자하거약침요법을 이용한 마미증후군 FBSS 환자에 대한 증례보고)

  • Kim, Sung-Phil;Kim, Jae-Hong;Ryu, Hye-Seon;Chun, Hea-Sun;Shin, Jeong-Cheol
    • Journal of Acupuncture Research
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    • v.28 no.5
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    • pp.135-142
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    • 2011
  • Objectives : This study was to investigate on the hominis placenta pharmacopuncture of FBSS patient who were diagnosed as the cauda equina syndrome which has been described as a complex of low back pain, bilateral sciatica, saddle anesthesia and hypoesthesia in the lower extremity with bladder and bowel incontinence. Methods : The patient was treated with hominis placenta parmacopuncture at Samchosu($BL_{22}$), Shinsu($BL_{23}$), Sangryo($BL_{31}$), Charyo($BL_{32}$), Jungryo($BL_{33}$) and Haryo($BL_{34}$) with oriental medical conservative treatment. We estimated by visual analog scale and Oswestry disability index and nerve level dermatome test for evaluate the effect of Hominis Placenta Pharmacopuncture with oriental conservative treatment. Results : After treatment, patient's visual analogue scale score, Oswestry disability index score, bilateral sciatica, saddle anesthesia and hypoesthesia in the lower extremity with bladder and bowel incontinence were generally decreased. Conclusions : The hominis placenta pharmacopuncture with oriental medical conservative treatment might be an effective method to treat the FBSS patient who were diagnosed as the cauda equina syndrome.

Alternative Use of Inferior Blow-out Fracture Reduction with Urinary Balloon Catheter (풍선 달린 카테터를 이용한 안저 파열 골절 정복의 선택적 사용)

  • Park, Sung Hoon;Yang, Ho Jik
    • Archives of Plastic Surgery
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    • v.34 no.6
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    • pp.729-734
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    • 2007
  • Purpose: The operative treatment for blow-out fracture involves restoration of intra-orbital soft tissue and bony structural integrity. There are several methods for reconstruction of inferior blow out fracture. We report reduction of inferior blow-out fracture with urinary balloon catheter in comparison with $Medpor^{(R)}$ using group to complication rate. Methods: A retrospective study was performed on 67 patients who underwent inferior orbital blow-out fracture reconstruction with $Medpor^{(R)}$ implant or urinary balloon catheter following between 2003 and 2006. Hospital records were reviewed especially for preoperative and postoperative enophthalmos, diplopia, extraocular muscle movement limitations, and hypoesthesia between $Medpor^{(R)}$ implant group and balloon catheter using group. Results: There was no significant statistical difference between both groups on incidence of postoperative complications of enophthalmos, diplopia, extraocular muscle movement limitations, and hypoesthesia. Postoperative infection, ectropion were absent in both groups.Conclusion: The use of urinary balloon catheter is simple, fast and inexpensive. Urinary balloon catheter is an alternative and reliable use for reduction of inferior orbital blow-out fracture.

Numb Chin Syndrome as the First Symptom of Diffuse Large B-cell Lymphoma

  • Oh, Duwon;Woo, Keoncheol;Kim, Seong Taek;Ahn, Hyung Joon;Choi, Jong-Hoon;Kwon, Jeong-Seung
    • Journal of Oral Medicine and Pain
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    • v.41 no.4
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    • pp.200-204
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    • 2016
  • Numb chin syndrome, or mental neuropathy is a rare sensory neuropathy characterized by abnormal sensation such as hypoesthesia, paresthesia, or dysesthesia in the chin and lower lip innervated by the mental nerve. Sensory neuropathy of mental nerve is somewhat familiar to dentists because it can occur following nerve damage by trauma or dental treatment such as implant surgery or third molar extraction. It can also result from dental causes including abscess or osteomyelitis. However, it can be the first sign of the systemic disease or malignancy if it is not related to dental causes. In this study, we present the case of a patient who present with hypoesthesia and pain in chin area without other symptoms and is later diagnosed with diffuse large B-cell lymphoma.

Low Level Laser Therapy for Two Patients with Herniated Nucleus Pulposus (척추 추간판 탈출증의 저출력 레이저에 의한 치험 2예)

  • Kim, Young-Choo;Kim, Hae-Gyu;Baik, Seong-Wan;Kim, Inn-Se;Jung, Kyoo-Sub
    • The Korean Journal of Pain
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    • v.4 no.1
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    • pp.51-55
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    • 1991
  • There is a variety of therapeutic modality for herniated nucleus pulposus. Recently the low level laser has come into use for treatment for it. We treated two patients suffered from herniated nucleus pulposus of the central type of $L_{3,4}$ level, with He-Ne, $CO_2$ and Ga Al As laser simultaneously daily under hospitalization. In order to determine the efficacy of treatment, we used the "visual analogue scale" and its improvement rate. The results were as follows; Case I complained of gait disturbance, and hypoesthesia on the lateral side of the left lower leg, as and as low back pain. At the 15th day after treatment, VAS improvement rate was 40%, and the gait disturbance and hypoesthesia were markedly improved. 35th days after tratement, VAS improvement rate was 80%. Case II complained only of low back pain. At the 15th day after treatment, the VAS improvement rate was 68%, and at 20 days after treatment it was 84%. We sugsest that, using the low level laser for treatment of herniated nucleus pulposus increased the cartilage entrophism, and inhibitory effects of the inflammatory materials such as acid glycosaminoglycan by its anti-inflammatory and analgesic effects.

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