Q 1.4. Topical Sensory Syndromes – Summary of the Summary

Topical sensory syndromes represent specific patterns of sensory abnormalities seen in neurological conditions, crucial for accurate diagnosis and treatment.

  1. Dermatomal Distribution: Sensory deficits follow specific spinal nerves, seen in conditions like herpes zoster, causing a painful rash along a dermatome.

  2. Peripheral Nerve Distribution: Injuries to single nerves lead to characteristic sensory and motor symptoms. For example, median nerve injury in carpal tunnel syndrome presents with thumb, index, and middle finger numbness, tingling, and weakness.

  3. Radicular Distribution: Sensory deficits stem from spinal nerve root problems, often due to disc herniation or foraminal stenosis.

  4. Sensory Pathway Distribution: Syndromes result from disruptions in central nervous system sensory pathways, like Brown-Séquard syndrome causing ipsilateral proprioception loss and contralateral pain and temperature sensation loss.

  5. Peripheral Neuropathy Patterns: Neuropathies show typical sensory loss patterns, such as the “stocking-and-glove” distribution in diabetic neuropathy due to metabolic nerve damage.

  6. Complex Regional Pain Syndrome (CRPS): CRPS displays regional sensory abnormalities post-trauma, with neuroinflammation and neuroplasticity playing roles in its development. Multimodal interventions, including physical therapy and pharmacotherapy, effectively manage CRPS-related sensory disturbances.

Verified by Dr. Petya Stefanova