[On the carpal tunnel syndrome as the basis of paresthesia in pregnancy].
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Due to its variable attitude--and motiondepending pain symptoms meralgia paraesthetica may easily be misinterpreted as an affection of the hip joint or not be regarded as additional and sometimes chief complaint of that. Moreover our investigations show that meralgia paraesthetica is seen quite frequently in patients suffering from coxarthrosis. A case report illustrates the subject. Finally diagnostic and therapeutic proceedings are suggested.
A 23-year-old man with agenesis of the inferior vena cava (IVC) and azygos continuation had progressive, temporary, activity-dependent paraesthesias of the legs which developed after increasing sports activity as a soldier. The diagnosis was made from the chest X-ray (enlarged azygos shadow) and the computed tomogram (retro- and para-aortic space-occupying structures representing the enlarged collaterals draining the lower half of the body). There are at present no known therapeutic measures for this very rare anomaly. Management thus focuses on the prevention of complications, such as thromboses in the distal drainage channels.
Seventeen oncological patients reported unpleasant but clinically harmless skin sensations directly after intravenous injection of dexamethasone, persisting for 2-4 minutes. In 16 cases, these paraesthesias (tingling, burning, itching, twinging) occurred in the genital or perineal area. In one case, the symptoms started in this area and then extended over the entire truncus integument for a short period. The cause of this obviously drug-induced side effect is unknown.
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