Neurological Complications of Cryosurgery

Millns, John L.; Fenske, Neil A.; Pierce, Bonna

doi:10.1111/j.1524-4725.1980.tb00843.x

Cited by 16 publications

(8 citation statements)

References 12 publications

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“…Blistered nodules may take 2–4 weeks to heal and be replaced by hypopigmented macules. Cryotherapy is thought to cause destruction of sensory nerves and impairment of nerve regeneration 98,99 . Treated patients may not complain of pruritus for up to 3 months 81 .…”

Section: Treatmentmentioning

confidence: 99%

Prurigo nodularis: A review

2005

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Prurigo nodularis is a chronic condition characterized by a papulonodular pruriginous eruption of unknown aetiology. This condition is a difficult disease to treat and causes frustration to both the patient and the treating doctor. A variety of systemic conditions have been reported to be associated with prurigo nodularis. The mechanism by which these disorders may trigger prurigo nodularis is unknown. Nerve growth factor has been implicated in the pathogenesis of prurigo nodularis. Calcitonin gene-related peptide and substance P immunoreactive nerves are markedly increased in prurigo nodularis when compared with normal skin. These neuropeptides may mediate the cutaneous neurogenic inflammation and pruritus in prurigo nodularis. Topical or intralesional glucocorticoids are the treatment of choice. Other topical treatments such as topical vitamin D3, and topical capsaicin have also been reported to be effective. Oral treatments such as cyclosporin and thalidomide have been shown to improve both appearance of the skin and pruritus. We review the clinical features, associations, pathology, pathogenesis and treatment of prurigo nodularis.

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Section: Treatmentmentioning

confidence: 99%

Prurigo nodularis: A review

2005

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“…In general, cryosurgery of the nail unit is a safe procedure. One possible complication is damage to the digital nerves that run along the sides of the fingertip that results in prolonged, if not permanent dysesthesia 22–24 …”

Section: Complications Of Special Modalitiesmentioning

confidence: 99%

“…One possible complication is damage to the digital nerves that run along the sides of the fingertip that results in prolonged, if not permanent dysesthesia. [22][23][24] Matricectomy Partial and total matricectomy may be performed surgically or chemically for recalcitrant ingrown toenails and severely dystrophic, resistant onychomycosis of the toes. Many modalities are used, including cold steel, phenol, electrosurgery, and CO 2 laser.…”

Section: Cryosurgerymentioning

confidence: 99%

Complications of Nail Surgery: A Review of the Literature

Moossavi

Scher

2001

Dermatologic Surgery

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“…5 Although neurologic complications are rare, multiple reports of self-limited nerve damage after cryosurgery are documented. [6][7][8] Infection, syncope, pyogenic granuloma, abnormal scarring, alopecia, cartilage necrosis, and insufflation of soft tissue are rare but possible complications. 2 We report a case of hemorrhagic blisters and bullae in a patient with hemophilia A (factor VIII deficiency) after cryosurgery to emphasize the possible risks of cryosurgery in this patient population.…”

mentioning

confidence: 99%