A 45-year-old HIV-positive female patient experienced a generalized burning sensation after the administration of one dose duloxetine 20 mg. The patient’s concurrent medications include fixed drug combination nevirapine 200 mg, Lamivudine 150 and Zidovudine 300 twice daily for 5 years. recovered from next day withdrawal duloxetine. From causal relationship assessment, we observed that neither d...

A 46-year-old Japanese man with type 2 diabetes mellitus, whose only diabetic complication was simple retinopathy, developed acute painful neuropathy. This presented as paresthesia and hyperesthesia restricted to the abdomen. The patient's haemoglobin A(1c) had dropped from 12% to 7.5% within 5 months, following a rapid improvement in glycaemic control. On investigation, there were no indicatio...

Nasopalatine duct cysts are the most common non-odontogenic cysts in the maxilla, and are conventionally treated through a sublabial or palatine approach. Recently, the endoscopic approach has been used, but experience is extremely limited. We treated a 29-year-old male with nasopalatine duct cyst by endoscopic marsupialization, but paresthesia of the incisor region occurred after surgery. This...

introduction: bilateral sagittal split osteotomy (bsso) of mandible is vastly used in treatment of mandibular deficiencies and discrepancies. since this method could affect esthetic as well as function, evaluating these effects from various aspects is crucial. this study assessed the effects of this technique on the function of masseter muscle, jaw movements, and sensory changes along with fail...

background: tramadol overdose is relatively common in iran. a series of tramadol poisoned patients with paresthesia and decreased muscle strength are described. methods: in this prospective cross-sectional study, all referred cases to mashhad medical toxicology center with suspected tramadol poisoning between 1st july 2010 and 1st september 2012 were included. patients with mixed overdose, hist...

Corresponding author: Ji Hee Hong, M.D., Ph.D., Department of Anesthesia and Pain Medicine, Keimyung University School of Medicine, 56, Dalseong-ro, Jung-gu, Daegu 700-712, Korea. Tel: 82-53-250-7288, Fax: 82-53-250-7240, E-mail: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/...

Background: Because nerve stimulators are not always available for brachial plexus block, fmding the right injection spot for nerve blocks is important. In this study we used physical examination to determine the appropriate spot for injection. Methods: All patients who were candidates for upper extremity surgery and were either in class ASA I or ASA II, were selected. Paresthesia was elicited ...

OBJECTIVE To clarify the extent, timing, and patient perspectives of great auricular nerve (GAN) morbidity and recovery after nerve sacrifice during parotidectomy during the first postoperative year. DESIGN Prospective series. SETTING Tertiary care academic medical center. Patients Twenty-seven consecutive patients who underwent parotidectomy with GAN sacrifice. MAIN OUTCOME MEASURES Preo...

A 49-year-old woman with no relevant medical history presented to an external neurology clinic progressive hand and foot paresthesia gait instability for over 6 months. Initially, she reported tingling shooting electrical-type sensations involving her feet. Within several weeks of the onset paresthesia, noted a burning pain sensation left hand. Sensory symptoms continued worsen felt pressure-li...

OBJECTIVE This case study is about an 11-year-old girl with bilateral facial weakness, abnormal taste sensation, and absent deep tendon reflexes of both knees and ankles. However, the muscle power of the lower and upper extremities across all muscle groups was normal. After 2 days, she developed paresthesia and numbness in the lower extremities. Other neurologic examinations, such as fundoscopi...