Metoprolol tartrate for essential tremor.
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Biomedical subjects
Publications and source records attributed to A B Pleet.
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Notalgia paresthetica, possibly an isolated sensory neuropathy involving the posterior primary rami of thoracic nerves T2 through T6, and appearing as pruritus of the back, is apt to be encountered by both dermatologists and neurologists. Two cases illustrate this disorder.
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Notalgia paresthetica was described by Astwazaturow in 1934. We have seen six cases in the past year, suggesting that it is not rare. This sensory neuritis affects the posterior rami of several spinal nerves (arising from thoracic segments T2 to T6), causing pruritus, burning, and dysesthesias. Examination reveals hypesthesia. Although the cause is not known, the course seems benign. The posterior rami of these five dorsal roots traverse a 90-degree course through the multifidus spinae muscle, making them unique among the posterior rami.
Cheiralgia paresthetica has been reported in the past, but the exact etiology is unknown. We present two cases that occurred secondary to handcuff placement.
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This case report documents the clinical entity of median nerve supply to the first dorsal interosseous muscle, which occurs in 3% of individuals. This must be remembered in evaluation of neuropathy involving the hand muscles.
We have reported upon three different mononeuropathies that we believe were directly attributable to jogging. At this time it is presumed that this complication is not common, but as jogging increases as a routine form of exercise for the general populace it is possible that more such neuropathies will be seen. Mechanical injuries in runners are well described, and it is possible that as yet unidentified mechanical factors may injure neural tissue as well.