Title
A C-fiber mediated neuropathic brachioradial pruritus case report A C-fiber mediated neuropathic brachioradial pruritus case report
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Charlottesville, Va ,
Subject
Human medicine
Source (journal)
Journal of neurosurgery. - Charlottesville, Va, 1944, currens
Volume/pages
113(2010) :1 , p. 118-121
ISSN
0022-3085
1933-0693
ISI
000279107300029
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
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 C68 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
E-info
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