Partial numbness

Introduction Partial numbness hemenesthesia usually refers to the loss or disappearance of the upper and lower limbs caused by encephalopathy. Mostly due to contralateral cerebral hemisphere disease. Common in cerebrovascular accidents, head injury, encephalitis and other diseases. There are "ant crawls the same" or "needle-like feeling", some patients have "socks" and "sleeve" type abnormal feeling, consciously the skin becomes thicker and feels dull. Many patients often have seizures during sleep at night, and even wake up, or their hands are numb after getting up in the morning, numbness is not stiff, and can be relieved after a little activity. The above symptoms are often affected by cold and tiredness. Accompanied by the fatigue of the gods, the hands and feet are afraid of the cold and other performances.

Cause

Hand and foot numbness is an independent disease of limb motor nerve damage, mostly due to stroke hemiplegia, diabetes, neuritis, cervical spondylosis, lumbar spondylosis, etc., the microscopic connection around the motor nerve fibers is blocked, oppressing the sports fiber, causing exercise The nerve fibers are severely damaged, the nerve conduction capacity and conduction speed are reduced, and there is a hand and foot. In severe cases, it can develop into painful symptoms such as limb paralysis and muscle atrophy.

an examination

Related inspection

Brain CT examination, neurological examination, electromyography

Numbness can not be treated symptomatically, but to treat the cause. No matter what causes the numbness of the hands and feet, you should first go to the hospital neurology to check whether the nerves are damaged or not.

If it is a neurological problem, an electromyogram examination is needed to further confirm the degree, extent, and nature of nerve damage. If the numbness of the hands and feet caused by other reasons, then go to other related departments for treatment.

The numbness of the hands and feet caused by nerve damage should be selected according to the degree and nature of nerve damage. Medications are usually combined with acupuncture and physiotherapy to promote rapid recovery. Surgical treatment is to open the compressed nerve by surgery to relieve the nerve compression and stimulation.

Differential diagnosis

Diagnostic differentiation of partial numbness needs to identify the brain problem, caused by abnormal cervical vertebrae, as well as facial nerve abnormalities, attention and blood pressure, blood sugar and blood lipids, etc., pay attention to adjust diet. Combine the patient's medical history with abnormal sleep, excessive fatigue, lack of mood and liver and kidney deficiency, neurological dystrophy, lack of sleep, vitamin deficiency, etc., pay attention to distinguish and analyze dialectical medication.

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