A Case Report of Refractory Notalgia Paresthetica Treated with Lidocaine Infusions
نویسندگان
چکیده
BACKGROUND Notalgia paresthetica is a neuropathic condition that manifests as a chronic itch in the thoraco-dorsal region. It is often resistant to treatment, and specific guidelines for its management are lacking. As such, we present a treatment approach with intravenous lidocaine infusions. CASE REPORT The case involves a 50-year-old woman with spinal cord injury caused by an epidural abscess. The patient developed notalgia paresthetica and sublesional neuropathic pain following its drainage. In the course of her pain management, she was treated with intravenous lidocaine which resulted in profound relief of notalgia paresthetica. CONCLUSIONS Intravenous lidocaine was effective in relieving neuropathic itch in the patient case presented.
منابع مشابه
Notalgia paresthetica associated with cervical spinal stenosis and cervicothoracic disk disease at C4 through C7.
Notalgia paresthetica (NP) is a common refractory, sensory, neuropathic syndrome with the hallmark symptom of localized pruritus of the unilateral infrascapular back. It generally is a chronic noncurable condition with periodic remissions and exacerbations. While the dermatologic syndrome may be multifactorial in etiology, a possible association with underlying cervical spine disease should be ...
متن کاملNeuropathic Itch of the Back: A Case of Notalgia Paresthetica
Notalgia paresthetica refers to an isolated mononeuropathy involving chronic localized itch or paresthesia most often at the skin of the scapula or surrounding regions. There are no specific skin manifestations except those arising from chronic scratching and rubbing. The specific etiology remains unknown; however, it has been theorized that the neuropathic itch is caused by sensory nerve entra...
متن کاملPathophysiology and Treatment of Notalgia Paresthetica- a Sensory Neuropathic Syndrome of the Back Skin: an Overview
Notalgia paresthetica (NP) is a sensory neuropathic syndrome of the back skin, classically of the unilateral infrascapula. It is primarily a localized pruritus syndrome. Notalgia paresthetica was first named in 1934 and described as episodic itching or pain on a small patch of the mid back, usually an area of skin just past easy reach. Additional features of Notalgia paresthetica may include lo...
متن کاملNotalgia Paresthetica: A Novel Approach to Treatment with Cryolipolysis
Notalgia paresthetica, a neurosensory syndrome that typically occurs on the upper back, has multiple clinical symptoms with variable degrees of expression in each individual afflicted with the condition. The involved site is usually hyperpigmented and is associated with burning, coldness, hypoesthesia, increased pain, pruritus and/or tingling. In the affected area, the number of nerve fibers ma...
متن کاملSafety and efficacy of Capsaicin gel in painful and pruritic dermatoses: Post-Herpetic neuralgia, Notalgia Paresthetica, Lichen simplex chronicus
Background: Pain and pruritus are two common symptoms in dermatology that are transmitted with unmyelinated C fibers via substance P. Topical capsaicin is effective due to depletion of never endings from substance P. Objective: The efficacy and side effects capsaicin gel in painful and pruritic skin disorders was compared to placebo. Patients and Methods: In a controlled clinical trial, 4...
متن کامل