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A C-fiber-mediated neuropathic brachioradial pruritus

A 56-year-old man presented to the outpatient clinic with a 3-year history of itch within the innervation territory of C-6 of the left arm. Sudden neck movements induced intermittent paresthesias in the same dermatome. No dermatological diseases, allergies, or trauma to the affected extremity or the spine or a history of familial pruritus were reported. Neurological physical examination and electromyography revealed normal findings. Quantitative sensory testing demonstrated selective C-fiber dysfunction at C6-8 on the left, and cervical MR imaging revealed multilevel degenerative cervical spine pathology with neuroforaminal stenoses. Brachioradial neuropathic pruritus caused by cervical neuroforaminal stenosis was the final diagnosis. Treatment consisted of 2 cervical epidural steroid applications that resulted in clinical disappearance of the itch and improvement in C-fiber function on quantitative sensory testing

Keywords : administration & dosage,Anesthetics,Local,Anti-Inflammatory Agents,Arm,Brachial Plexus,Brachial Plexus Neuropathies,Brain,Cervical Vertebrae,complications,diagnosis,drug therapy,Drug Therapy,Combination,Electromyography,history,Humans,Injections,Epidural,innervation,Lidocaine,Male,Methylprednisolone,Middle Aged,Movement,Neck,Nerve Compression Syndromes,Nerve Fibers,Unmyelinated,Neurologic Examination,Neurosurgery,Paresthesia,pathology,Physical Examination,physiology,physiopathology,Pruritus,Radial Nerve,Spinal Stenosis,Spine,Universities,, Cfibermediated,Neuropathic,Brachioradial,Pruritus, piriformis syndrome pain relief

Date of Publication : 2010 Jul

Authors : De RD;Hans G;Pals P;Menovsky T;

Organisation : Brain Research Centre Antwerp for Innovative & Interdisciplinary Neuromodulation and Department of Neurosurgery, University Hospital Antwerp, Edegem, Belgium

Journal of Publication : J Neurosurg

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/19817537

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