No abstract available.
Foot* ; Hand* ; Paresthesia*

No abstract available.
Anesthesia, Spinal ; Leg ; Paresthesia

We report a case of meralgia paresthetica in a 25-year-old man who preferred to wear tight blue jeans. He complained of a tingling sensation and dysesthesia with progressive a nature on the right thigh that had been present for 2 years. The symptoms were relieved after wearing loose trousers.
Adult ; Humans ; Paresthesia ; Sensation ; Thigh

OBJECTIVE: The purpose of this study is to analyze clinical characteristics and surgical outcomes of the far lateral and the paramedian disc herniations. METHODS: The 88 patients who underwent an operation for lumbar disc herniations were reviewed. Visual analogue scale of leg and back pain, occurrence of sensory dysesthesia and motor deficit before and after operations were used to compare the far lateral with the paramedian disc herniations. RESULTS: Statistically, the far lateral herniations had more severe radicular leg pain and showed more frequent occurrence of sensory dysesthesia than paramedian herniations before operation (p<0.05). In the far lateral herniation group, preoperatively, 15 patients (75%) had sensory dysesthesia and among them, 4 patients (27%) showed improvement. In the paramedian herniation group, preoperatively, 25 patients (37%) had sensory dysesthesia and among them, 21 patients (84%) showed improvement. The degree of improvement in sensory dysesthesia was statistically higher in paramedian herniation group (p<0.05). In the far lateral herniation group, preoperatively, 11 patients (55%) had motor deficit and among them, 10 patients (91%) showed improvement. In the paramedian herniations, preoperatively, 29 patients (43%) had motor deficit and among them, 25 patients (86%) showed improvement. The degree of improvement in motor deficit was not statistically significant between groups (p>0.05). CONCLUSION: Preoperatively, the far lateral herniations had more severe radicular leg pain and frequent occurrence of sensory dysesthesia. Postoperatively, the sensory dysesthesia was less improved and back pain was more severe in the far lateral herniations.
Back Pain ; Humans ; Leg ; Paresthesia

No abstract available.
Molar, Third* ; Paresthesia* ; Prospective Studies*

No abstract available.
Molar, Third* ; Paresthesia* ; Prospective Studies*

OBJECTIVE: We investigated plantar nerve injuries associated with calcaneal fracture and severity of disability. METHOD: From July, 2001 to June, 2002, twelve patients who had calcaneal fractures with persistent foot pain and paresthesia were included in our study. We examined electromyography for medial and lateral plantar nerve, inferior calcaneal nerve, also evaluated types of calcaneal fracture and severity of pain and disability with nerve injury. RESULTS: The intraarticular types were 13 cases, extraarticular type was 1 case and communited types were 2 cases. In the electromyographic findings, the 9 cases were diagnosed asneuropathy. In a cases with neuropathy, 8 persons complained over moderate degree of pain and all persons complained over moderate degree of walking disability. However one of three persons without neuropathy complained over moderate degree of walking disability. So disability tended to be more severe in cases with neuropathy. CONCLUSION: We think that neuropathy associated with calcaneal fracture is a cause of aggravation of pain and walking disability, and electromyography for nerves of foot will be needed in the calcaneal fracture.
Electromyography ; Foot ; Humans ; Paresthesia ; Walking

OBJECTIVE: This retrospective study of 57 patients was performed to evaluate the therapeutic effectiveness of percutaneous endoscopic surgery by using interlaminar approach (ILA) in symptomatic lumbar disc herniation (LDH) at L5-S1. METHODS: Visual analogue pain score (VAS) and Oswestry disability index (ODI) were used to assess the clinical outcome. All assessment was done on 1 day before the operation, 3 days, 3months and 12months after the operation. RESULTS: The mean preoperative back and leg VAS was decreased from 5.6+/-1.4, 8.5+/-1.7 to 1.8+/-1.2, 1.5+/-1.3 at 3 days, 1.2+/-1.1, 1.8+/-1.7 at 3 months, and 1.4+/-1.7, 1.6+/-1.3 at 12 months after the operation. Mean preoperative ODI score was improved from 46.8+/-22.4% to 17.7+/-11.6% at 3 days, 15.3+/-10.1% at 3 months, and 16.2+/-9.3% at 12 months after the operation. There were 2 cases of surgical failure due to dural tearing and calcified disc. One patient presented with transient paresthesia postoperatively. Two patients showed the recurrent disc herniation at the same level and same side, and underwent second open surgery. CONCLUSION: The present study revealed that percutaneous endoscopic surgery by using ILA is an effective surgical modality for the selective cases of LDH at L5-S1.
Diskectomy ; Humans ; Leg ; Paresthesia ; Retrospective Studies

Accidental displacement of the third molar tooth or its fragment into the anatomical spaces is a rare but potentially serious complication. The most common sites of mandibular third molar displacement are the sublingual, submandibular, and pterygomandibular spaces. Removal of a displaced tooth or its fragments from these spaces may be difficult due to poor access and the vital structures involved in these spaces; therefore, removal may result in permanent damage. This article is intended to provide a concise update of the reported cases of submandibular displacement and to present a case of intraoral management of mandibular third molar root fragments that were displaced into the submandibular space.
Molar, Third ; Paresthesia* ; Tooth Extraction ; Tooth*

OBJECTIVE: To analyze the relationship of concomitant foraminal lumbar disc herniation (FLDH) with postoperative leg pain after microdecompression for extraforaminal lumbar disc herniation (EFLDH) at the L5-S1 level. METHODS: Sixty-five patients who underwent microdecompression for symptomatic EFLDH at the L5-S1 level were enrolled. According to the severity of accompanying FLDH, EFLDH was classified into four categories (Class I : no FLDH; Class II : mild to moderate FLDH confined within a lateral foraminal zone; Class III : severe FLDH extending to a medial foraminal zone; Class IV : Class III with intracanalicular disc herniation). The incidence of postoperative leg pain, dysesthesia, analgesic medication, epidural block, and requirement for revision surgery due to leg pain were evaluated and compared at three months after initial surgery. RESULTS: The incidences of postoperative leg pain and dysesthesia were 36.9% and 26.1%, respectively. Pain medication and epidural block was performed on 40% and 41.5%, respectively. Revision surgery was recommended in six patients (9.2%) due to persistent leg pain. The incidences of leg pain, dysesthesia, and requirement for epidural block were higher in Class III/IV, compared with Class I/II. The incidence of requirement for analgesic medication was significantly higher in Class III/IV, compared with Class I/II (p=0.02, odds ratio=9.82). All patients who required revision surgery due to persistent leg pain were included in Class III/IV. CONCLUSION: Concomitant FLDH seems related to postoperative residual leg pain after microdecompression for EFLDH at the L5-S1 level.
Humans ; Incidence ; Intervertebral Disc ; Leg ; Paresthesia