• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.45 no.4
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• pp.215-219
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• 2019

Objectives: Postoperative paresthesia is a common complication after sagittal split osteotomy (SSO). This study aimed to compare paresthesia among different fixation methods one year postoperative. Materials and Methods: This prospective cohort study assessed subjects in four groups: class II with miniplate fixation (Group 1), class II with three-screw fixation (Group 2), class III with miniplate fixation (Group 3), and class III with three-screw fixation (Group 4). Paresthesia was evaluated one year postoperative based on a 0-10 visual analogue scale. Pearson correlation was used to evaluate associations of age and mandibular movement with paresthesia. ANOVA was used to compare paresthesia among groups. Results: A total of 80 subjects were enrolled, with 20 subjects in each of the four groups. The Pearson correlation test demonstrated a significant correlation between mandibular movement and paresthesia (P=0.001). Comparison of paresthesia among the groups showed significant differences among groups 1 and 2, 2 and 3, and 3 and 4 (P<0.05). Conclusion: The three-screw fixation method led to more paresthesia one year postoperative compared with miniplate fixation. In addition, the magnitude of mandibular movement had a positive correlation with paresthesia.

• The Journal of Korean Medicine
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• v.22 no.2
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• pp.41-52
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• 2001

Background and Purpose : Paresthesia is a common symptom in stroke patients, but very little research has been done on that. The purpose of this research was differentiating the syndromes of paresthesia in stroke patients. Methods: We studied about the paresthesia in 21 stroke patients. To differentiate the syndromes of paresthesia in stroke patients, we use oriental medicine methods. The locations of the lesions were identified with the use of CT and/or MRI. Results: The differentiation of syndroms about paresthesia were Yinhuyanghangzeng, Hynleozeng and Hwaynlzeng in order of frequency. Yinhuyanghangzeng was more frequent in female and at upper extremity. Hyuleozeng was accompanied with Qihuzeng and Yinhuyanghangzeng and its duration of disease was relatively long. Hwayulzeng was more frequent in male and its duration of disease was short. Conclusions : We hope there are more studies about the differentiation of syndroms and exantinations of paresthesia in many stroke patients.

• Journal of Korean Medicine Rehabilitation
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• v.24 no.3
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• pp.165-171
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• 2014

Objectives This study was performed to analyze relationship between pillow height and patients of arm paresthesia. Methods The data were collected from December 2013 to April 2014. The subjects who visited in Korean Medical hospital for Arm paresthesia were 65. The pillow height was measured from the surface to occipital protuberance. And the angle of cervical spine was measured from the tragus to the acromion. Results 1. The average height of pillow was $5.36{\pm}2.37cm$, and the average of the angle of cervical spine was $18.62{\pm}8.94^{\circ}$. 2. Correlation and regression analysis were performed on the pillow height, the angle of cervical spine and paresthesia. There was a significant correlation between the pillow height and paresthesia (R=0.389). And it had correlation between the angle of cervical spine and paresthesia (R=0.269). 3. The regression analysis was used to determine the influence of elements. The pillow height can influence to the arm paresthesia. Conclusions Through this study, we found out significant relationship between pillow height, cervical angle and patients of arm paresthesia. This result suggests that the higher pillow height and cervical angle can cause the more painful arm paresthesia.

• Restorative Dentistry and Endodontics
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• v.39 no.3
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• pp.215-219
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• 2014

Whenever endodontic therapy is performed on mandibular posterior teeth, damage to the inferior alveolar nerve or any of its branches is possible. Acute periapical infection in mandibular posterior teeth may also sometimes disturb the normal functioning of the inferior alveolar nerve. The most common clinical manifestation of these insults is the paresthesia of the inferior alveolar nerve or mental nerve paresthesia. Paresthesia usually manifests as burning, prickling, tingling, numbness, itching or any deviation from normal sensation. Altered sensation and pain in the involved areas may interfere with speaking, eating, drinking, shaving, tooth brushing and other events of social interaction which will have a disturbing impact on the patient. Paresthesia can be short term, long term or even permanent. The duration of the paresthesia depends upon the extent of the nerve damage or persistence of the etiology. Permanent paresthesia is the result of nerve trunk laceration or actual total nerve damage. Paresthesia must be treated as soon as diagnosed to have better treatment outcomes. The present paper describes a case of mental nerve paresthesia arising after the start of the endodontic therapy in left mandibular first molar which was managed successfully by conservative treatment.

• Journal of Dental Anesthesia and Pain Medicine
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• v.18 no.3
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• pp.177-182
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• 2018

Paresthesia is an altered sensation of the skin, manifesting as numbness, partial loss of local sensitivity, burning, or tingling. The inferior alveolar nerve (IAN) is the third branch of the trigeminal nerve and is very important in dental treatment. IAN paresthesia may occur after various dental procedures such as simple anesthetic injections, surgical procedures, and endodontic treatment, and is reported to range from 0.35% to 8.4%. The altered sensation usually follows immediately after the procedure, and reports of late onset of nerve involvement are rare. This report presents a rare case of delayed paresthesia after dental surgery and discusses the pathophysiology of IAN delayed paresthesia.

• The Korean Journal of Pain
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• v.19 no.2
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• pp.146-151
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• 2006

Background: Spinal cord stimulation is a well-established method for the management of several types of chronic and intractable pain. This form of stimulation elicits a tingling sensation (paresthesia) in the corresponding dermatomes. The goal of this study was to establish a correlation between the spinal levels of the implanted epidural electrodes and the paresthesia elicited due to stimulation of the neural structures. Methods: Thirty five patients, who received trial spinal cord stimulation, were evaluated. After the insertion of the lead to the selected position, the areas of paresthesia evoked by stimulation were evaluated. Results: Seventy-one percent of cases showed paresthesia in the shoulder area when the tip of the electrode was located between the C2⁣-C4 levels. At the upper extremities, paresthesia was evoked in 86⁣-93% of cases, regardless of the location of the electrode tip within the cervical spinal segments. The most common tip placement of the leads eliciting hand stimulation was at the C5 level. The most common level of electrode tip placement eliciting paresthesia of the anterior and posterior thigh and the foot were at the T7-⁣T12, T10⁣-L1 and T11-⁣L1 vertebral segments, respectively. Conclusions: Detailed knowledge of the patterns of stimulation induced paresthesia in relation to the spine level of the implanted electrodes has allowed the more consistent and successful placement of epidural electrodes at the desired spine level.

• Journal of Sasang Constitutional Medicine
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• v.27 no.3
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• pp.346-355
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• 2015

Objectives The aim of this study was to report significant improvement of paresthesia and weakness in the limbs of unknown cause after treatment with Mangeummoonmu-tang and Cheongeummoonmu-tang in a Taeeumin patient. Methods The patient was diagnosed as Taeeumin Dry-Heat (Joyeol) pattern and treated with Mangeummoonmu-tang, Cheongeummoonmu-tang and acupuncture. The patient's subjective symptoms of paresthesia and weakness were observed using Global Assessment Scale (GAS) during the treatment period. Results and Conclusion The symptoms of paresthesia and weakness decreased from GAS 100 to GAS 0 for two weeks. Furthermore, the patient's symptoms of fatigue and xeroderma were reported to be improved after treatment. In conclusion, this study shows that Sasang constitutional medicine can be effective treatment for Taeeumin patient with paresthesia and weakness in the limbs of unknown cause.

• Journal of The Korean Dental Society of Anesthesiology
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• v.9 no.2
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• pp.108-115
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• 2009

Trauma to any nerve may lead to persistent paresthesia. Trauma to the nerve sheath can be produced by the needle. The patient frequently reports the sensation of an electric shock throughout the distribution of the nerve involved. It is difficult for the type of needle used in dental practice to actually sever a nerve trunk or even its fibers. Trauma to the nerve produced by contact with the needle is all that is needed to produce paresthesia. Hemorrhage into or around the neural sheath is another cause. Bleeding increases pressure on the nerve, leading to paresthesia. Injection of local anesthetic solutions contaminated by alcohol or sterilizing solution near a nerve produces irritation; the resulting edema increases pressure in the region of the nerve, leading to paresthesia. Persistent paresthesia can lead to injury to adjacent tissues. Biting or thermal or chemical insult can occur without a patient's awareness, until the process has progressed to a serious degree. Most paresthesias resolve in approximately 8 weeks without treatment. In most situations paresthesia is only minimal, with the patient retaining most sensory function to the affected area. In these cases there is only a very slight possibility of self injury. But, the patient complaints the discomfort symptoms of paresthesia, such as causalgia, neuralgiaform pain and anesthesia dolorosa. Most paresthesias involve the lingual nerve, with the inferior alveolar nerve a close second. This is the report of a case, that had the persistent paresthesia care on left lingual & buccal shelf regions after the lingual and long buccal nerve block anesthesia.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.2 no.2
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• pp.49-56
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• 2007

Objectives : This study is to investigate the clinical application of conservative treatment to a patient who has the paresthesia and migration on L-spine MRI. Methods : A male patient, 34 years old, who has paresthesia and migration on L-spine MRI was evaluated after conservative oriental medical and chuna treatment by Visual Analog Scale(VAS), Numeric Rating Scale(NRS), Straight Leg Rasing Test(SLRT), Sensation, MRI follow-up. Results : 1. Visual Analog Scale(VAS), Numeric Rating Scale(NRS), Straight Leg Rasing Test(SLRT), Sense was significantly improved after conservative oriental medical and chuna treatment. 2. Also it was observed that herniated disc was decreased by L-spine MRI follow-up. Conclusions : Conservative oriental medical and chuna treatment can be effective for decreasing pain and improving paresthesia, also decreasing the volume of herniated disc.

• Journal of The Korean Dental Society of Anesthesiology
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• v.13 no.2
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• pp.39-44
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• 2013

Most of the dental treatments have been routinely performed under the local anesthesia and the effectiveness has also been proved safe. However, even not frequently dentists face some complications associated with the local anesthesia. In this report, the experience of the paresthesia after mental nerve block anesthesia for an implant placement of the mandibular premolar was presented to raise awareness of the complications related with local anesthetic procedure and to discuss about the causes, the proper treatments and the preventive approach of the paresthesia.