J Korean Med Assoc.  2005 May;48(5):472-478. 10.5124/jkma.2005.48.5.472.

Diagnosis and Treatment of Tingling Sensation on Hands and Feet

• Kim SH

• KMID: 2183553
• DOI: http://doi.org/10.5124/jkma.2005.48.5.472

Abstract

Tingling Sensation on Hands and Feet is one of common sensory symptoms, which is frequently associated with not only peripheral nerve disorders, including polyneuropathies, entrapment neuropathies(carpal tunnel syndrome or tarsal tunnel syndrome) and radiculopathies, but also stroke or peripheral vascular diseases. Despite numerous conditions causing acroparesthesia, characteristic symptoms and signs of each category can afford to inform the critical differentiating clues like followings glove-stocking paresthesia in polyneuroapthy, dermatomal radiating paresthesia in radiculopathy, sensory level in myelopathy, and crossed paresthesia in brainstem lesion. In this review, diagnostic and therapeutic approach to acroparesthesia is schematically described. In addition, neuropathic pain, a special type of pain or unpleasant feeling caused by partial/complete denervation of sensory nervous systems, as one of common causes of acroparesthesia, will be discussed.

Keyword

Acroparesthesia; Peripheral neuropathy; Neuropathic pain

MeSH Terms

Brain Stem
Denervation
Diagnosis*
Foot*
Hand*
Nervous System
Neuralgia
Paresthesia
Peripheral Nerves
Peripheral Nervous System Diseases
Peripheral Vascular Diseases
Polyneuropathies
Radiculopathy
Sensation*
Spinal Cord Diseases
Stroke

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