A case of neuropathic brachioradial pruritus caused by cervical disc herniation

This Case Study describes a 64-year-old woman who presented with a 2-year history of itch on her right dorsal forearm. The patient was diagnosed with brachioradial pruritus caused by cervical disc herniation, and the symptoms resolved after surgery to decompress the sixth cervical nerve root. Variou...

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Veröffentlicht in:Nature clinical practice. Neurology 2008-06, Vol.4 (6), p.338-342
Hauptverfasser: Binder, Andreas, Fölster-Holst, Regina, Sahan, Gülcan, Koroschetz, Jana, Stengel, Maike, Maximilian Mehdorn, H, Schwarz, Thomas, Baron, Ralf
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container_end_page 342
container_issue 6
container_start_page 338
container_title Nature clinical practice. Neurology
container_volume 4
creator Binder, Andreas
Fölster-Holst, Regina
Sahan, Gülcan
Koroschetz, Jana
Stengel, Maike
Maximilian Mehdorn, H
Schwarz, Thomas
Baron, Ralf
description This Case Study describes a 64-year-old woman who presented with a 2-year history of itch on her right dorsal forearm. The patient was diagnosed with brachioradial pruritus caused by cervical disc herniation, and the symptoms resolved after surgery to decompress the sixth cervical nerve root. Various alternative treatment options for brachioradial pruritus are discussed. Background A 64-year-old woman presented to an outpatient clinic with a 2-year history of itch, burning sensation and intermittent paresthesias within the innervation territory of the sixth cervical nerve root on the right dorsal forearm. No dermatological diseases, trauma to the affected extremity or the spine, or familial pruritus were reported. Investigations Dermatological examination, skin biopsy, laser Doppler imaging, neurological physical examination and cervical MRI scan. Diagnosis Brachioradial pruritus caused by cervical disc herniation. Management Ventral spinal fusion with cage implantation.
doi_str_mv 10.1038/ncpneuro0807
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The patient was diagnosed with brachioradial pruritus caused by cervical disc herniation, and the symptoms resolved after surgery to decompress the sixth cervical nerve root. Various alternative treatment options for brachioradial pruritus are discussed. Background A 64-year-old woman presented to an outpatient clinic with a 2-year history of itch, burning sensation and intermittent paresthesias within the innervation territory of the sixth cervical nerve root on the right dorsal forearm. No dermatological diseases, trauma to the affected extremity or the spine, or familial pruritus were reported. Investigations Dermatological examination, skin biopsy, laser Doppler imaging, neurological physical examination and cervical MRI scan. Diagnosis Brachioradial pruritus caused by cervical disc herniation. Management Ventral spinal fusion with cage implantation.</description><identifier>ISSN: 1745-834X</identifier><identifier>EISSN: 1745-8358</identifier><identifier>DOI: 10.1038/ncpneuro0807</identifier><identifier>PMID: 18461070</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Arm ; Biopsy ; Care and treatment ; Carpal tunnel syndrome ; Case studies ; case-study ; Cervical Vertebrae ; Clinical medicine ; Cold ; Diagnosis ; Drug therapy ; Female ; Health aspects ; Humans ; Intervertebral Disc Displacement - complications ; Intervertebral Disc Displacement - diagnosis ; Intervertebral Disc Displacement - surgery ; Magnetic resonance imaging ; Medical education ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neurology ; Outpatient care facilities ; Pain ; Patients ; Pruritus ; Pruritus - etiology ; Radiculopathy - complications ; Radiculopathy - diagnosis ; Radiculopathy - surgery ; Risk factors ; Surgery</subject><ispartof>Nature clinical practice. 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The patient was diagnosed with brachioradial pruritus caused by cervical disc herniation, and the symptoms resolved after surgery to decompress the sixth cervical nerve root. Various alternative treatment options for brachioradial pruritus are discussed. Background A 64-year-old woman presented to an outpatient clinic with a 2-year history of itch, burning sensation and intermittent paresthesias within the innervation territory of the sixth cervical nerve root on the right dorsal forearm. No dermatological diseases, trauma to the affected extremity or the spine, or familial pruritus were reported. Investigations Dermatological examination, skin biopsy, laser Doppler imaging, neurological physical examination and cervical MRI scan. Diagnosis Brachioradial pruritus caused by cervical disc herniation. Management Ventral spinal fusion with cage implantation.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>18461070</pmid><doi>10.1038/ncpneuro0807</doi><tpages>5</tpages></addata></record>
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source MEDLINE; Nature; SpringerLink Journals - AutoHoldings
subjects Arm
Biopsy
Care and treatment
Carpal tunnel syndrome
Case studies
case-study
Cervical Vertebrae
Clinical medicine
Cold
Diagnosis
Drug therapy
Female
Health aspects
Humans
Intervertebral Disc Displacement - complications
Intervertebral Disc Displacement - diagnosis
Intervertebral Disc Displacement - surgery
Magnetic resonance imaging
Medical education
Medicine
Medicine & Public Health
Middle Aged
Neurology
Outpatient care facilities
Pain
Patients
Pruritus
Pruritus - etiology
Radiculopathy - complications
Radiculopathy - diagnosis
Radiculopathy - surgery
Risk factors
Surgery
title A case of neuropathic brachioradial pruritus caused by cervical disc herniation
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