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Acroparesthesias: An Overview.

Maroua Slouma1,2, Siwar Ben Dhia1,2, Elhem Cheour2,3

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|November 3, 2023
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Summary
This summary is machine-generated.

Acroparesthesia, a common symptom of numbness and tingling in extremities, often presents diagnostic challenges. This review summarizes causes and proposes a management algorithm for this frequent neurological symptom.

Keywords:
AcroparesthesiaGuillain Barrécarpal tunnel syndromediabetes.polyneuropathyultrasonography

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Area of Science:

  • Neurology
  • Symptomatology
  • Diagnostic Imaging

Background:

  • Acroparesthesia, characterized by abnormal sensations in extremities, is frequently encountered but lacks comprehensive diagnostic and management guidelines.
  • Its varied origins, spanning the entire sensory pathway, make etiological diagnosis challenging.
  • It can be an early indicator of serious conditions like Guillain-Barré syndrome or vasculitis, necessitating prompt attention.

Purpose of the Study:

  • To review and synthesize current knowledge on acroparesthesia and its diverse underlying causes.
  • To present a structured approach and diagnostic algorithm for managing acroparesthesia.
  • To highlight the role of ultrasonography in diagnosing and managing nerve entrapment neuropathies.

Main Methods:

  • Literature review of acroparesthesia diagnosis and management.
  • Analysis of acroparesthesia as a symptom of various neurological and systemic diseases.
  • Evaluation of ultrasonography's utility in identifying nerve entrapment and guiding treatment.

Main Results:

  • Acroparesthesia is a predominant symptom of polyneuropathy (e.g., diabetic neuropathy) and mononeuropathy (e.g., carpal tunnel syndrome).
  • Ultrasonography aids in diagnosing nerve entrapment by visualizing nerve changes and associated pathologies.
  • Management strategies are cause-dependent, ranging from treating underlying diseases to interventions like ultrasound-guided injections.

Conclusions:

  • Acroparesthesia diagnosis requires a thorough evaluation due to its wide differential diagnosis.
  • Ultrasonography is a valuable tool for diagnosing and managing common causes like carpal tunnel syndrome.
  • A systematic approach and proposed algorithm can guide clinicians in effectively managing patients with acroparesthesia.