title: The proximal tap or "central Tinel" sign in central dysesthetic syndrome after spinal cord injury.
abstract: Diffuse, chronic, and dysesthetic pain following spinal cord injury (SCI) has been described by several authors under different terms. As illustrated by the two patients described here, central dysesthetic syndrome (CDS) can be mistaken for musculoskeletal, peripheral neuropathic or visceral disease in SCI patients. In these patients, an added clue to the central neuropathic nature of their symptoms was allesthesia and allodynia to light touch or tapping over areas rostral to the level of injury; this may be called the proximal tap or "central Tinel" sign.
authors.affiliation: Spinal Cord Injury Service, VAMC, Long Beach, CA.
authors.forename: K G
authors.initials: KG
authors.lastname: Woodward
authors.forename: M
authors.initials: M
authors.lastname: Vulpe
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000209:etiology* / Q000503:physiopathology; D009460:Neurologic Examination; D010146:Pain; D010812:Physical Stimulation; D012677:Sensation; D013119:Spinal Cord Injuries / Q000150:complications*; D013577:Syndrome