The Neuroma Startle Sign: A Surgical Indicator of Proximity to an Injured Nerve

During operative intervention for the treatment of symptomatic neuromas, the authors have observed a hypersensitive “startle” response to stimulation in proximity to the painful nerve. This physiologic sign is an indicator of the specific anatomic localization of the painful stimulus, commonly a sym...

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Detalles Bibliográficos
Autores principales: Karinja, Sarah J., Gorky, Jonathon, Valerio, Ian L., Ruscic, Katarina J., Eberlin, Kyle R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Peripheral Nerve
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10017393/
https://www.ncbi.nlm.nih.gov/pubmed/36936466
http://dx.doi.org/10.1097/GOX.0000000000004890
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author Karinja, Sarah J.
Gorky, Jonathon
Valerio, Ian L.
Ruscic, Katarina J.
Eberlin, Kyle R.
author_facet Karinja, Sarah J.
Gorky, Jonathon
Valerio, Ian L.
Ruscic, Katarina J.
Eberlin, Kyle R.
author_sort Karinja, Sarah J.
collection PubMed
description During operative intervention for the treatment of symptomatic neuromas, the authors have observed a hypersensitive “startle” response to stimulation in proximity to the painful nerve. This physiologic sign is an indicator of the specific anatomic localization of the painful stimulus, commonly a symptomatic neuroma, that appears to be reproducible. The aim of this article is to describe this “neuroma startle sign,” posit the underlying mechanism for this observation, and propose how this phenomenon could be clinically harnessed for innovation and optimization in both surgery and anesthesia for more effective symptomatic neuroma localization.
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spelling pubmed-100173932023-03-17 The Neuroma Startle Sign: A Surgical Indicator of Proximity to an Injured Nerve Karinja, Sarah J. Gorky, Jonathon Valerio, Ian L. Ruscic, Katarina J. Eberlin, Kyle R. Plast Reconstr Surg Glob Open Peripheral Nerve During operative intervention for the treatment of symptomatic neuromas, the authors have observed a hypersensitive “startle” response to stimulation in proximity to the painful nerve. This physiologic sign is an indicator of the specific anatomic localization of the painful stimulus, commonly a symptomatic neuroma, that appears to be reproducible. The aim of this article is to describe this “neuroma startle sign,” posit the underlying mechanism for this observation, and propose how this phenomenon could be clinically harnessed for innovation and optimization in both surgery and anesthesia for more effective symptomatic neuroma localization. Lippincott Williams & Wilkins 2023-03-15 /pmc/articles/PMC10017393/ /pubmed/36936466 http://dx.doi.org/10.1097/GOX.0000000000004890 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Peripheral Nerve
Karinja, Sarah J.
Gorky, Jonathon
Valerio, Ian L.
Ruscic, Katarina J.
Eberlin, Kyle R.
The Neuroma Startle Sign: A Surgical Indicator of Proximity to an Injured Nerve
title The Neuroma Startle Sign: A Surgical Indicator of Proximity to an Injured Nerve
title_full The Neuroma Startle Sign: A Surgical Indicator of Proximity to an Injured Nerve
title_fullStr The Neuroma Startle Sign: A Surgical Indicator of Proximity to an Injured Nerve
title_full_unstemmed The Neuroma Startle Sign: A Surgical Indicator of Proximity to an Injured Nerve
title_short The Neuroma Startle Sign: A Surgical Indicator of Proximity to an Injured Nerve
title_sort neuroma startle sign: a surgical indicator of proximity to an injured nerve
topic Peripheral Nerve
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10017393/
https://www.ncbi.nlm.nih.gov/pubmed/36936466
http://dx.doi.org/10.1097/GOX.0000000000004890
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