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1. Slurring of Speech and Lip Paresthesia: Symptoms of Levodopa End of Dose Wearing Off in Parkinson's Disease (PubMed)

Slurring of Speech and Lip Paresthesia: Symptoms of Levodopa End of Dose Wearing Off in Parkinson's Disease The prolonged use of levodopa for treating Parkinson's disease is associated with motor and nonmotor complications. These include wearing-off, delayed-on, partial-on, no-on, and on-off phenomena. In the wearing-off effect, symptoms return before a patient's next scheduled dose of levodopa. Patients may present with motor, sensory, or autonomic fluctuations. In this report, we present

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2018 Cureus

2. Electrodiagnosis, a real added value for the evaluation of upper limb paresthesiae and pains (PubMed)

Electrodiagnosis, a real added value for the evaluation of upper limb paresthesiae and pains 30215014 2018 12 12 2467-981X 3 2018 Clinical neurophysiology practice Clin Neurophysiol Pract Electrodiagnosis, a real added value for the evaluation of upper limb paresthesiae and pains. 89-90 10.1016/j.cnp.2018.03.003 Seror P P Laboratoire d'électromyographie, 146 Av. Ledru Rollin, 75011 Paris, France. Ramsay générale de santé, hôpital privé de l'Est Parisien, Aulnay sous-Bois, France. eng Editorial

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2018 Clinical Neurophysiology Practice

3. Extending Coronectomy Indications to Third Molars with Taurodontism to Prevent Paresthesia and Mandible Fracture (PubMed)

Extending Coronectomy Indications to Third Molars with Taurodontism to Prevent Paresthesia and Mandible Fracture Taurodontism is considered a dental anomaly responsible for a morphoanatomical change in the shape of the tooth in which the roots are reduced in size but the body of the tooth is enlarged and bulky. The aim of this paper is to present a case of a 25-year-old female patient with taurodontism of mandibular partially erupted third molars, presenting a high risk of angle fracture (...) and paresthesia in case of their removal, treated by means of coronectomy. The postoperative period was uneventful and the patient remained in follow-up for 12 months. In conclusion, the identification of third molars with higher risk of complications related to their extractions is the key to consider conservative measures to avoid problems. Coronectomy is a relatively simple technique that should be taken into account when considering bulky, deeply located third molars with a high risk of paresthesia

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2018 Case reports in dentistry

4. Sub-paresthesia spinal cord stimulation reverses thermal hyperalgesia and modulates low frequency EEG in a rat model of neuropathic pain (PubMed)

Sub-paresthesia spinal cord stimulation reverses thermal hyperalgesia and modulates low frequency EEG in a rat model of neuropathic pain Paresthesia, a common feature of epidural spinal cord stimulation (SCS) for pain management, presents a challenge to the double-blind study design. Although sub-paresthesia SCS has been shown to be effective in alleviating pain, empirical criteria for sub-paresthesia SCS have not been established and its basic mechanisms of action at supraspinal levels (...) are unknown. We tested our hypothesis that sub-paresthesia SCS attenuates behavioral signs of neuropathic pain in a rat model, and modulates pain-related theta (4-8 Hz) power of the electroencephalogram (EEG), a previously validated correlate of spontaneous pain in rodent models. Results show that sub-paresthesia SCS attenuates thermal hyperalgesia and power amplitude in the 3-4 Hz range, consistent with clinical data showing significant yet modest analgesic effects of sub-paresthesia SCS in humans

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2018 Scientific reports

5. Delayed paresthesia of inferior alveolar nerve after dental surgery: case report and related pathophysiology (PubMed)

Delayed paresthesia of inferior alveolar nerve after dental surgery: case report and related pathophysiology Paresthesia is an altered sensation of the skin, manifesting as numbness, partial loss of local sensitivity, burning, or tingling. The inferior alveolar nerve (IAN) is the third branch of the trigeminal nerve and is very important in dental treatment. IAN paresthesia may occur after various dental procedures such as simple anesthetic injections, surgical procedures, and endodontic (...) treatment, and is reported to range from 0.35% to 8.4%. The altered sensation usually follows immediately after the procedure, and reports of late onset of nerve involvement are rare. This report presents a rare case of delayed paresthesia after dental surgery and discusses the pathophysiology of IAN delayed paresthesia.

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2018 Journal of Dental Anesthesia and Pain Medicine

6. Paresthesia Free Spinal Cord Stimulation (PF-SCS)

Paresthesia Free Spinal Cord Stimulation (PF-SCS) Paresthesia Free Spinal Cord Stimulation (PF-SCS) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Paresthesia Free Spinal Cord Stimulation (PF-SCS (...) area in each subject. QST will be performed at Visit 1 and Visit 2. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 68 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single (Participant) Masking Description: The participant and study staff will be blinded. The study physicians will not be blinded. Primary Purpose: Supportive Care Official Title: Effects of Paresthesia Free Spinal Cord

2018 Clinical Trials

7. Piezoelectric Surgery Versus Conventional Osteotomy in Impacted Lower Third Molar Extraction: Evaluation of Perioperative Anxiety, Pain, and Paresthesia. (PubMed)

Piezoelectric Surgery Versus Conventional Osteotomy in Impacted Lower Third Molar Extraction: Evaluation of Perioperative Anxiety, Pain, and Paresthesia. Piezoelectric surgery is a safe and effective osteotomy technique that can decrease the perioperative complications and morbidity in oral-maxillofacial surgery. In this study, we compared piezoelectric surgery and a conventional rotatory technique in the removal of impacted lower third molars. Our primary endpoints were perioperative anxiety

2018 Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons

8. The Anatomical Nature of Dental Paresthesia: A Quick Review (PubMed)

The Anatomical Nature of Dental Paresthesia: A Quick Review Dental paresthesia is loss of sensation caused by maxillary or mandibular anesthetic administration before dental treatment. This review examines inferior alveolar block paresthesia symptoms, side effect and complications. Understanding the anatomy of the pterygomandibular fossa will help in understanding the nature and causes of the dental paresthesia. In this review, we review the anatomy of the region surrounding inferior alveolar

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2018 The open dentistry journal

9. Cutaneous paresthesia after internal plate fixation of clavicle fractures and underlying anatomical observations. (PubMed)

Cutaneous paresthesia after internal plate fixation of clavicle fractures and underlying anatomical observations. To assess the clinical and anatomical causes of cutaneous paresthesia after internal fixation of clavicle fractures.This study included 135 patients who underwent internal fixation of clavicle fractures from May 2013 to June 2016 at the First and Second Affiliated Hospital of Guangxi Medical University. The incidence of postoperative supraclavicular nerve injury, the duration (...) of numbness, and improvements after plate removal were retrospectively analyzed. Seven human cadaver specimens were subsequently dissected to analyze the supraclavicular nerve and its relationship to numbness.Of the 135 patients who underwent internal fixation of clavicle fractures, 26 (19.3%) experienced postoperative cutaneous paresthesia, with 22 (16.3%) and 4 (2.8%) experiencing numbness and pain, respectively. The most intense numbness occurred during the first operative month. Of the 22 patients

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2018 Medicine

10. Risk factors for hypertrophic burn scar pain, pruritus, and paresthesia development. (PubMed)

Risk factors for hypertrophic burn scar pain, pruritus, and paresthesia development. Hypertrophic scar pain, pruritus, and paresthesia symptoms are major and particular concerns for burn patients. However, because no effective and satisfactory methods exist for their alleviation, the clinical treatment for these symptoms is generally considered unsatisfactory. Therefore, their risk factors should be identified and prevented during management. We reviewed the medical records of 129 postburn (...) ); patients with scar paresthesia that influenced the patients' daily activities (HSc paresthesia, n = 31) vs. patients without such scar paresthesia (No HSc paresthesia, n = 98). Three multivariable logistic regression models were built, respectively, to identify the risk factors for hypertrophic burn scar pain, pruritus, and paresthesia development. Multivariable analysis showed that hypertrophic burn scar pain development requiring pharmacological intervention was associated with old age (odds ratio

2018 Wound Repair and Regeneration

11. Persistent lingual paresthesia caused by a displaced tooth fragment: a case report and literature review (PubMed)

Persistent lingual paresthesia caused by a displaced tooth fragment: a case report and literature review 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

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2017 Journal of the Korean Association of Oral and Maxillofacial Surgeons

12. Paresthesias Among Community Members Exposed to the World Trade Center Disaster (PubMed)

Paresthesias Among Community Members Exposed to the World Trade Center Disaster Paresthesias can result from metabolic disorders, nerve entrapment following repetitive motions, hyperventilation pursuant to anxiety, or exposure to neurotoxins. We analyzed data from community members exposed to the World Trade Center (WTC) disaster of September 11, 2001, to evaluate whether exposure to the disaster was associated with paresthesias.Analysis of data from 3141 patients of the WTC Environmental (...) Health Center.Fifty-six percent of patients reported paresthesias at enrollment 7 to 15 years following the WTC disaster. After controlling for potential confounders, paresthesias were associated with severity of exposure to the WTC dust cloud and working in a job requiring cleaning of WTC dust.This study suggests that paresthesias were commonly associated with WTC-related exposures or post-WTC cleaning work. Further studies should objectively characterize these paresthesias and seek to identify

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2017 Journal of Occupational and Environmental Medicine

13. Guillain-Barré Syndrome: A Variant Consisting of Facial Diplegia and Paresthesia with Left Facial Hemiplegia Associated with Antibodies to Galactocerebroside and Phosphatidic Acid (PubMed)

Guillain-Barré Syndrome: A Variant Consisting of Facial Diplegia and Paresthesia with Left Facial Hemiplegia Associated with Antibodies to Galactocerebroside and Phosphatidic Acid BACKGROUND A rare variant of Guillain-Barré syndrome (GBS) consists of facial diplegia and paresthesia, but an even more rare association is with facial hemiplegia, similar to Bell's palsy. This case report is of this rare variant of GBS that was associated with IgG antibodies to galactocerebroside and phosphatidic (...) acid. CASE REPORT A 54-year-old man presented with lower left facial palsy and paresthesia of his extremities, following an upper respiratory tract infection. Physical examination confirmed lower left facial palsy and paresthesia of his extremities with hyporeflexia of his lower limbs and sensory loss of all four extremities. The differential diagnosis was between a variant of GBS and Bell's palsy. Following initial treatment with glucocorticoids followed by intravenous immunoglobulin (IVIG), his

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2017 The American journal of case reports

14. Influence of Electroacupuncture and Laser-Acupuncture on Treating Paresthesia in Patients Submitted to Combined Orthognathic Surgery and Genioplasty (PubMed)

Influence of Electroacupuncture and Laser-Acupuncture on Treating Paresthesia in Patients Submitted to Combined Orthognathic Surgery and Genioplasty Objective: The goal of this research was to observe the influence of electroacupuncture (EA) and laser-acupuncture on the return of tactile/pain sensitivity in patients who underwent orthognathic surgery. Materials and Methods: Thirty volunteers subjected to orthognathic surgery were evaluated and randomly divided into 2 groups, in which 3

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2017 Medical Acupuncture

15. Electroacupuncture Therapy for Auricular Paresthesia (PubMed)

Electroacupuncture Therapy for Auricular Paresthesia Background: The great auricular nerve (GAN) provides sensory innervation to the skin around the auricle. Although disorder of this nerve has been reported, great auricular neuralgia, as reported by Blumenthal in 1992, is uncommon. The authors report a case of auricular paresthesia that responded well to electroacupuncture treatment (EAT). Case: A man in his 60s was consulted in the clinic after a 6-month history of experiencing tingling (...) in the severity of this patient's symptoms, and the tactile hyperesthesia in the affected area had normalized. The main complaint, auricular paresthesia, had disappeared and had not recurred according to a check-up 15 months later. Conclusions: EAT was effective in the current case. It is hypothesized that EAT can reduce neural sensitivity via a reflex mechanism actuated by somatosensory input.

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2017 Medical Acupuncture

16. Needle-induced paresthesiae during single-shot spinal anesthesia: a comparison of sitting versus lateral decubitus position. (PubMed)

Needle-induced paresthesiae during single-shot spinal anesthesia: a comparison of sitting versus lateral decubitus position. Paresthesiae occasionally occur during spinal puncture or injection of local anesthetic for spinal anesthesia. No information is currently available regarding the effects of the patient's position on the incidence of needle-induced paresthesiae. The purpose of this prospective, observational study was to compare the occurrence of needle-induced paresthesiae in patients (...) , incidence of paresthesiae, and success of the anesthesia were recorded.The overall incidence of paresthesiae was higher in the lateral decubitus position (16.95%) compared with the sitting position (9.15%) (P = 0.0230). The number of punctures and the success rate were similar in both positions. Studying the incidence of paresthesiae for each position, when performing 1 or more punctures, there was no position-related difference noted if a single-needle puncture was sufficient to perform the block (8.0

2017 Regional Anesthesia and Pain Medicine

17. Does a paresthesia during spinal needle insertion indicate intrathecal needle placement? (PubMed)

Does a paresthesia during spinal needle insertion indicate intrathecal needle placement? Paresthesias are relatively common during spinal needle insertion, however, the clinical significance of the paresthesia is unknown. A paresthesia may result from needle-to-nerve contact with a spinal nerve in the epidural space, or, with far lateral needle placement, may result from contact with a spinal nerve within the intervertebral foramen. However, it is also possible and perhaps more likely (...) , that paresthesias occur when the spinal needle contacts a spinal nerve root within the subarachnoid space. This study was designed to test this latter hypothesis.Patients (n = 104) scheduled for surgery under spinal anesthesia were observed during spinal needle insertion. If a paresthesia occurred, the needle was fixed in place and the stylet removed to observe whether cerebrospinal fluid (CSF) flowed from the hub. The presence of CSF was considered proof that the needle had entered the subarachnoid

2017 Regional Anesthesia and Pain Medicine

18. Four percent articaine administered for routine dental procedures may or may not increase the risk of paresthesia compared to 2% lidocaine

Four percent articaine administered for routine dental procedures may or may not increase the risk of paresthesia compared to 2% lidocaine UTCAT2068, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Four Percent Articaine Administered For Routine Dental Procedures May Or May Not Increase The Risk of Paresthesia Compared To 2% Lidocaine Clinical Question In patients requiring local anesthesia for dental procedures (...) , is articaine administration more likely to cause paresthesia than lidocaine administration? Clinical Bottom Line Randomized controlled trials report similar rates of paresthesia between 2% lidocaine and 4% articaine. FDA adverse events reporting indicates a higher-than-expected frequency of paresthesia after dental anesthetic administration of both 4% articaine and 4% prilocaine. (See Comments on the CAT below) Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year

2011 UTHSCSA Dental School CAT Library

19. Overfilling Of Root Canal Materials Into The Mandibular Canal Shows High Incidence Of Paresthesia

Overfilling Of Root Canal Materials Into The Mandibular Canal Shows High Incidence Of Paresthesia UTCAT2083, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Overfilling Of Root Canal Materials Into The Mandibular Canal Shows High Incidence Of Paresthesia Clinical Question What is the likelihood of paresthesia following overfilling of root canal obturating materials into the mandibular nerve canal? Clinical Bottom Line (...) The overall incidence of some degree of paresthesia following radiographic evidence overfilling of root canal materials into the mandibular canal was 87%. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Pogrel/2007 61 humans Case Series Key results Sixty-one subjects were evaluated over an 8 year period for root canal overfilling into the mandibular canal. Fifty patients received no further treatment

2011 UTHSCSA Dental School CAT Library

20. Infection Related Inferior Alveolar Nerve Paresthesia in the Lower Premolar Teeth (PubMed)

Infection Related Inferior Alveolar Nerve Paresthesia in the Lower Premolar Teeth Introduction. The aim of this paper was to describe two cases of IAN infection-induced paresthesia and to discuss the most appropriate treatment solutions. Methods. For two patients, periapical lesions that induced IAN paresthesia were revealed. In the first case, the tooth was previously endodontically treated, whereas in the second case the lesion was due to pulp necrosis. Results. For the first patient (...) , a progressive healing was observed only after the tooth extraction. In the second patient, the paresthesia had resolved after endodontic treatment. Conclusions. The endodontic-related paresthesia is a rare complication that can be the result of a combination of etiopathogenic mechanisms such as mechanical pressure on the nerve fibers due to the expanding infectious process and the production of microbial toxins. Paresthesia resulting from periapical lesions usually subsides through elimination of infection

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2016 Case reports in dentistry

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