Edelman Symptom

Edelman symptom definition, meaning. What it consists of: characterized by a simultaneous increase in lower and upper blood pressure in different arms, due to spasm of small and medium-sized vessels located in the area of ​​the elbow joint of the arm, in which the doctor pulsates the artery directly above the cubital fossa opposite the arm with increased blood pressure. Edelman's symptom is considered as an important additional sign of systolic hypertension in a situation where the usual methods of diagnosing it (determining pulse pressure, increasing the blood pressure of the brachial artery using one of the finger techniques when the patient moves from a sitting position to a lying position) are ineffective. When hypertension is confirmed by echolocation in a sitting position and after raising the patient to a standing position, the pressure values ​​of the brachial artery in both arms increase sharply. An important aspect of Edelman syndrome is its proven connection with cerebral vasospasm, which is observed in these patients at maximum elevation of the patient and is assessed by angiography.

Edelman's symptom is one of the most commonly used diagnostic criteria in neurology. The symptom is one of the symptoms in the study of various diseases of the nervous system, namely the brain and meninges. Therefore, the study of this symptom is important for any neurosurgeon, neurologist or neuropathologist.

To conduct the study, it is necessary to acquire the sensory (sensory part), motor (motor part), as well as the contralateral molar-labial nerve on the right and left. It is necessary to isolate these three nerves so that they do not influence each other. This can be done through surgery, or by blocking these nerves by infiltrating drugs around each of them. This will depend on the experience of the surgeon or neuropathologist performing the examination.

During the Edelman symptom, the patient sits on a chair with his head thrown back in the “knife” position. Then his head is held in this position by touch, and the back of his head is on the knee of the doctor performing the treatment. It is possible to facilitate the examination by pressing on the tip of the patient’s nose, performing a massage with light strokes on the surface of the molar labial joint, and also simultaneously pressing on the zygomatic skeleton. If necessary, in severe cases of the study or in some patients, the doctor may use anesthesia while the patient is completely asleep. Studies of the Edelman sign must be carried out very carefully so that the patient feels comfortable and safe. But first of all, this requires experience and knowledge from the attending physician; if he is not confident in his actions, then it is better to seek additional help from a qualified specialist. Performing the Edelman symptom test requires complete relaxation of the muscles of the face, palate and pharynx, so the patient must be calm and relaxed while performing the test. In case of changes in coordination, tremor