Humans ; Hyperesthesia ; diagnosis ; etiology ; Pharynx ; physiopathology ; Syndrome

Adult ; Cervical Vertebrae ; Humans ; Hyperesthesia ; etiology ; Male ; Spondylosis ; complications

A sciatic nerve injury as a complication of the position appears to be rare. There are several reports on sciatic nerve injuries that occurred as complications of the lithotomy position. We present two cases of an opposite sciatic nerve injury after the fixation of a femur shaft fracture. Two patients complained of hyperesthesia of the right foot and a foot drop after surgery. Nerve conduction and electromyographic studies were performed, which revealed a sciatic nerve injury. The patients were treated with physiotherapy and an ankle-foot orthotic. In the case 1, patient had completely recovered ten months after surgery. However, in case 2, the patient still had residual hyperesthesia and weakness two months after surgery when he was lost to follow-up. The mechanism of nerve injury in these patients was a stretching of the nerve. Tension was placed on the nerve as a result of the external rotation of the thigh with the hip and knee joints flexed.
Femur* ; Foot ; Hip ; Humans ; Hyperesthesia ; Knee Joint ; Lost to Follow-Up ; Neural Conduction ; Sciatic Nerve* ; Thigh

The pain associated with acute herpes zoster is neuropathic. In this case report, we describe acute herpes zoster patients with severe pain, allodynia, and hyperesthesia over the T1 to T8 dermatomes. Patients received continuous epidural administration of ketamine at a dose of 20 mg with 0.125% bupivacaine at a dose of 110 ml for 2 days. Their acute herpes zoster pain was controlled without any sign of side effects. This case report, epidural blocks with ketamine, an antagonist of the N-methyl-D-aspartic acid receptor and bupivacaine effectively in treated acute herpes zoster pain, when applied soon after the onset of the acute phase of the disease.
Anesthetics, Local* ; Bupivacaine ; Herpes Zoster* ; Humans ; Hyperalgesia ; Hyperesthesia ; Ketamine* ; N-Methylaspartate

This study compared and analyzed the occluding effects of fluoride compounds and desensitizers, which are commonly used in dental clinics, on dentinal tubules. This study also evaluated the persistence of the active ingredients over time by performing toothbrushing with an electric toothbrush. Thirty-five molar teeth, which had been extracted within the past 3 months from healthy people without tooth decays, amalgam fillings, or dental crowns, were divided into 4 pieces each. Of these, 135 teeth pieces were used as study specimens. These specimens were divided into a control group, an untreated group, and 5 experimental groups (acidulated fluoride gel, fluoride varnish, Gluma, Super Seal, and SE-Bond). The specimens were then subjected to toothbrushing equivalent to 1 week (140 times), 2 weeks (280 times), and 4 weeks (560 times), and the occluding effects on dentinal tubules in 3 regions of each specimen were examined under a scanning electron microscope. The fluoride varnish treated group showed the highest degree of dentinal tubule occlusion effects during the first, second, and fourth weeks of toothbrushing, with the SE-Bond treated group showing the second highest degree and the Gluma treated group showing the lowest degree. After 4 weeks of toothbrushing, the Gluma treated group and the Super Seal treated group showed the lowest degrees of dentinal tubule occlusion effects. In summary, the fluoride varnish treated group and the SE-Bond treated group displayed higher occlusion effects even after 4 weeks of treatment than did the other experimental groups. Therefore, it is the authors' belief that fluoride varnish and SE-Bond are effective for treating dentinal hyperesthesia.
Crowns ; Dental Clinics ; Dentin Desensitizing Agents ; Dentin Sensitivity ; Dentin* ; Fluorides* ; Hyperesthesia ; Molar ; Paint ; Tooth ; Toothbrushing

Complex regional pain syndrome (CRPS) is a disease that causes chronic spontaneous pain and hyperesthesia of one or more parts of legs and arms, which is accompanied with problems of the automatic nervous system or the motor nervous system. However, up to date, it is unclear what causes the syndrome and how to diagnose and treat it. Although several treatments including medication and sympathetic nerve block are performed against CRPS, the therapeutic effect of the treatments is limited. The electroconvulsive therapy (ECT), of which the mechanism is not clarified, is a treatment used for treatment-resistant depression. ECT is also reported to be effective against pain. Therefore, we performed the ECT for a 24-year-old female patient who has been diagnosed as CRPS. Her pain had not been much improved by medications and interventional procedures. At admission to a psychiatric ward for ECT, she complained of over 8 points of pain on visual analogue scale and the constrained movement around the painful part. Eight ECTs-three times a week-were performed for three weeks in hospital and then the ECT once a week was performed after her leaving the hospital. During the ECTs, pain had been reduced and the range of movement in the constrained parts had increased. Further systematic research is needed to confirm the effect of electroconvulsive therapy against CRPS.
Arm ; Autonomic Nerve Block ; Depression ; Electroconvulsive Therapy ; Female ; Humans ; Hyperesthesia ; Leg ; Nervous System ; Neuralgia ; Young Adult

PURPOSE: The heterodigital or homodigital artery island flap is a popular method in reconstruction of finger defects. Sometimes, digital artery island flap has some disadvantages such as postoperative flap edema, congestion, and partial necrosis of the flap margin. However, we could decrease these disadvantages by means of venous superdrainage. The aim of this study is to report usefulness and postoperative results of venous supercharging digital artery island flaps for finger reconstruction. METHODS: From March 2005 to March 2008, a total of eight patients with soft tissue defects in the finger underwent venous supercharging digital island flap transfer. Briefly, the flap is harvested along with dorsal vein that is then anastomosed to the recipient vein in an end-to-end fashion, after flap transfer and insetting. Using this technique, eight patients were operated, whose ages ranged from 23 to 52 years. RESULTS: All the flaps survived with a success rate of 100 percent, thus fully satisfying the reconstructive requirements. No postoperative flap congestion was recognized, obviating the need to take any measures for venous engorgement, such as suture removal. Among 8 cases, it was possible to make an long-term and follow- up observation more than 6 months. In these cases, the fact that light touches and temperature sensations can be detected in all the flaps. Cold intolerance and hyperesthesia were not seen in our series. CONCLUSION: Providing good harmony with conventional methods and microsurgery, inclusion of a vein with the heterodigital and homodigital artery island flap allows a more reliable and safer reconstructive choice for finger defects. The venous supercharged island flap is a reliable flap with a consistent arterial structure, and with its augmented venous drainage, it is more reliable, providing single-stage reconstruction of adjacent finger defects, including the fingertip.
Arteries ; Cold Temperature ; Drainage ; Edema ; Estrogens, Conjugated (USP) ; Fingers ; Humans ; Hyperemia ; Hyperesthesia ; Light ; Microsurgery ; Necrosis ; Sensation ; Surgical Flaps ; Sutures ; Veins

Fingertip injuries represent the most common type of injuries were seen in the upper extrimity. Reconstruction of a injured digit needs good aesthetic result as well as functional recovery. From August 1994 to August 1996, sixty two digits in the fifty four patients were treated by using the reverse digital island flaps. The age of the patients ranged from 13 to 64 years. We reviewed the medical records of our cases and analyzed them in several aspects. Majority of the cases (79%) were covered primarily. Neurorrhaphy was performed in 26 digits (42%). The survival of these flaps was successful in all cases except one case. The mean values of the static two point discrimination in sensate and nonsensate flaps were 6.5 mm and 10.3 mm retrospectively. In this study, venous congestion was the most common early complication (9.6%). Arterial insufficiency and flap loss (6.4%) were the troublesome early complications. Bulky mushroom shaped flap (24.6%), scar contracture (6.4%), paronychia (8.2%), cold intolerance (9.6%), hyperesthesia (3.2%) and flap atrophy (4.8%) were the late complications. In conclusion, despites of its complications, reverse digital island flap provide durable skin cover, superior aesthetic result and excellent sensory restoration.
Agaricales ; Atrophy ; Cicatrix ; Contracture ; Discrimination (Psychology) ; Humans ; Hyperemia ; Hyperesthesia ; Medical Records ; Paronychia ; Retrospective Studies ; Skin ; Surgical Flaps

PURPOSE: To evaluate the changes in penile sensitivity during the erectile response and their role in premature ejaculation, We investigated the penile sensitivity of patients with premature ejaculation or impotence and normal volunteers. PATIENTS AND METHODS: Penile sensitivity was evaluated by vibratory threshold in 19 men with premature ejaculation (PE group; average age 37.8 years), 14 men with impotence (Impo group; 41.8 years), and 13 normally potent male volunteers (control group; 30.0 years). Vibratory thresholds were recorded three times at the glans and shaft during the flaccid, tumescence, and rigid phases of penile erection using a biothesiometer (Model PVD; Bio-medical Instruments Co., USA). Artificial penile erection was induced by intracavernosal injection of prostaglandin E1 5-20 micro gram. RESULTS: Penile sensitivity revealed no significant difference among the three groups during the flaccid phase but was significantly lower in the Impo and control groups than in the PE group during the tumescence and rigid phases (p<0.05). Thus, the PE group had penile hyperesthesia in comparison with the other groups during erection. The penile sensitivity values in the three groups showed no significant differences according to location of the penis during the flaccid, tumescence and rigid phases. CONCLUSION: The pathogenesis of premature ejaculation seems to involve peripheral nerve sensitivity rather than being a reaction to the hypoxic state on full erection.
Alprostadil ; Drug Therapy* ; Erectile Dysfunction ; Healthy Volunteers ; Humans ; Hyperesthesia ; Male ; Penile Erection ; Penis ; Peripheral Nerves ; Premature Ejaculation* ; Volunteers

Fibrous histiocytomas (FHs) are skin or deep tissue tumor that include a heterogenous group of tumors. The common origin of these tumors are a histiocyte and these tumors are composed of fibroblasts and histiocytes. FHs commonly occurs in the sun-exposed skin and subcutaneous tissue, but its incidence in the head and neck is rare. We experienced a case of FH in the infratemporal fossa and parapharyngeal space in a 29-year-old woman. The patient showed hyperesthesia in the right chin and some facial swelling. We could successfully remove the mass without sacrifice of important structures by infratemporal fossa approach with osteotomy of mandible.
Adult ; Chin ; Female ; Fibroblasts ; Head ; Histiocytes ; Histiocytoma, Benign Fibrous* ; Humans ; Hyperesthesia ; Incidence ; Mandible ; Neck ; Osteotomy ; Skin ; Subcutaneous Tissue