Approximately 10 to 13% of people 60 years and older with herpes zoster will get PHN. This will bring up a list of websites that offer templates for different purposes. Similar to the pain that is caused by shingles outbreaks is felt by specific spinal nerves. (2018). They can be found for free online on various websites and are great for saving time and effort. If you suffer from pain or neurological condition involving the dermatome, you should consult with a physician. People with active herpes zoster lesions can spread VZV infection and cause varicella in people who have never had varicella or received varicella vaccine. The virus travels along the nerve paths to your skin, causing a painful, itchy rash that lasts 35 weeks. A dermatome is an area of skin that gets its sensation from a specific spinal nerve root. Triggering factors are sometimes recognised, such as: Herpes zoster is characterised by dermatomal distribution, that is the blisters are confined to the cutaneous distribution of one or two adjacent sensory nerves. These drugs can help shorten the duration of the virus and lessen the severity of symptoms from the incidence of zoster. The incidence among people 60 years and older is about 1 case per 100 U.S. population annually. Dermatomes are divided into groups based on where in the spine they originate: The lumbar, sacral, and coccygeal dermatomes are often grouped together and called the lower extremity dermatomes.. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. This is particularly problematic when the authors of several chapters do not agree on the selection of dermatome map. However, the study authors noted that predicting spinal damage based on dermatome locations was not more accurate than chance. (4:31 mins). Vertebrae are small bones that make up your backbone. Dermatomes are skin regions that are attached to a particular nerve. All rights reserved. Varicella vaccine contains live attenuated VZV, which causes latent infection. 12.6E: Dermatomes. However, two CDC studies have found that herpes zoster rates: Other countries, that do not have routine varicella vaccination programs, have also observed similar increases in herpes zoster rates. URL: medsafe.govt.nz/profs/Datasheet/z/zostavaxinj.pdf (accessed 12 July 2017). Your dermatomes are numbered based on which spinal nerve they correspond to. One study estimated that 96 deaths occur each year in which herpes zoster was the actual underlying cause (0.28 to 0.69 per 1 million population). In New Zealand, the zoster vaccine will be funded from 1 April 2018 forpeople aged between 66 and 80 years old. Its a rare condition that can, Neurologic diseases are conditions that affect the nervous system. However, a persons risk for herpes zoster increases as their VZV-specific cell-mediated immunity declines. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Recombinant zoster vaccine (RZV, Shingrix) is the recommended vaccine to prevent shingles and its complications. Treating nerve damage from dermatomes shingles, A retrospective case series of segmental zoster paresis of limbs: Clinical, electrophysiological and imaging characteristics, Varicella caused by airborne transmission of a localised herpes zoster infection in a family, Severe varicella-zoster virus pneumonia: A multicenter cohort study, Herpes zoster ophthalmicus clinical presentation and risk factors for loss of vision, Stages Of Shingles: Timeline Of Progression, A Comprehensive Guide To Shingles On Black Skin: Appearance, Diagnosis, And More, Valacyclovir Vs. Acyclovir For Shingles And Herpes Treatment, Valtrex For Shingles: Dosage, Effectiveness, And Side Effects. 18 April 2016. It is due to the reactivation of the. The most common site for a shingles outbreak is on the torso, but it can also appear on the face, neck, and legs. Herpes zoster is an infectious vesicular skin rash in a dermatomal distribution caused by Varicella zoster virus. StatPearls. Anyone who has had varicella (chickenpox) may subsequently develop herpes zoster. If one of these becomes injured, it can be treated easily with a local anesthetic. Our website services, content, and products are for informational purposes only. In some cases, the herpes zoster virus affects one of the major nerves in your head called cranial nerves. You have 31 pairs of spinal nerves. Thus, they are concerned that routine childhood varicella vaccination, recommended in the United States in since 1996, could lead to an increase in herpes zoster in adults due to reduced opportunities for being exposed to varicella. Diagnosis and prognosis of traumatic spinal cord injury, Nonoperative management of cervical radiculopathy, Where do patients with MRI-confirmed single-level radiculopathy experience pain, and what is the clinical interpretability of these pain patterns? The frequency of ophthalmic herpes zoster increases with age. In the same way, the pain triggered by an outbreak of shingles can be felt in particular spinal nerves. Older adults and people with compromised or suppressed immune systems are more likely to get hospitalized. Spinal nerves exist in 31 pairs, one on each side of the spine. Symptoms that occur within a dermatome sometimes indicate damage or disruption to the dermatomes corresponding nerve. Tseng HF, Smith N, Harpaz R, Bialek SR, Sy LS, Jacobsen SJ. Most people recover from postherpetic neuralgia within a year, but in some cases, it can be permanent. (2018). Other complications of herpes zoster include: People with compromised or suppressed immune systems are more likely to have complications from herpes zoster. Doctors suspect herpes zoster if they see a linear rash that follows the pattern of the dermatomes, especially if the person is known to have had chickenpox. There are many websites that offer a wide variety of templates for different purposes, and many of them can be downloaded and used without any cost. This post will also explain the dermatomes map, how it helps manage vesicular rashes, and the risk of shingles complications. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. We avoid using tertiary references. The specific changes and location of symptoms can tell doctors where the radiculopathy has occurred. They form a part of the peripheral nerve system which connects brain and all the body. [4:06 mins] Once youve had chickenpox, the virus stays in your body forever, lying dormant in a collection of nerve fibers between vertebrae called the dorsal root ganglion. They come in a variety of designs and can be customized with your own text and images. A skin biopsy or viral culture may be necessary to confirm the diagnosis. The Advisory Committee on Immunization Practices (ACIP) recommends Shingrix for adults 50 years and older. ophthalmic involvement (herpes zoster ophthalmicus) with acute or chronic ocular sequelae, including vision loss; bacterial superinfection of the lesions, usually due to Staphylococcus aureus and, less commonly, due to group A beta hemolytic streptococcus; cranial and peripheral nerve palsies; and. What Dermatomes Are and Why Theyre Important. Medical experts are likely to start by drawing a dermatome map to determine the source and severity of the nerve pain. Herpes zoster (shingles) is an acute, painful, vesicular, and cutaneous eruption caused by varicella zoster virus, the same virus which causes chicken pox. Mahamud A, Marin M, Nickell SP, Shoemaker T, Zhang JX, Bialek SR. Leung J, Harpaz R, Molinari NA, Jumaan A, Zhou F. Yih W, Brooks D, Lett S, Jumaan A, Zhang Z, Clements K, Seward J. Jumaan AO, Yu O, Jackson LA, Bohlke K, Galil K, Seward JF. Less commonly, the rash can be more widespread and affect three or more dermatomes. Learn about all the options. We describe a case with rash on penis and scrotum due to involvement of S2 dermatome in a young male. Zoster without complications. In adults, shingles typically causes a rash to form on the trunk, along one of the thoracic dermatomes. Some people may also have headache, photophobia (sensitivity to bright light), and malaise in the prodromal phase. Approximately 1 to 4% of people with herpes zoster get hospitalized for complications. Common diseases that might be partially determined through the dermatome chart include: Spinal injury (from a fall, etc.) A shingles rash can also occur along the path of other sensory nerves, such as cranial and cervical. The 2023 edition of ICD-10-CM B02.9 became effective on October 1, 2022. cancer, especially leukemia and lymphoma, bone marrow or solid organ (renal, cardiac, liver, and lung) transplant recipients, or. Shingles manifesting around your eye is called herpes zoster ophthalmicus and can blind you in that eye if not treated quickly and aggressively. The exact dermatome pattern can actually vary from person to person. Healthline Media does not provide medical advice, diagnosis, or treatment. You may be surprised! Dermatomes can help your doctor identify which body part certain conditions affect, such as in the case of shingles, injury, and pinched nerves. For instance, symptoms that occur along a specific dermatome may indicate a problem with a specific nerve root in the spine. These signals give rise to sensations involving temperature, pressure, and pain. Dermatomes are skin areas that are linked to a particular nerve bundle. The dermatome corresponding with the coccygeal nerves is located on the buttocks, in the area directly around the tailbone, or coccyx. Older adults are more likely to have longer lasting, more severe pain. Keep reading as we take a look at how and why shingles follows along nerve paths. The trigeminal and maxillary nerve are the biggest dermatomes. Capsaicin cream is available over the counter and has been found to be somewhat effective, but many people experience burning pain while putting it on. These nerves provide sensory, motor as well as autonomic information. The chickenpox virus can travel along this nerve to cause a rash on the chest or abdomen. When they identify a particular dermatome as affected, it tells them where on the spinal cord the damage is. Getting, The back contains the spinal cord and spinal column, as well as three different muscle groups. Anatomy and physiology. The rash may be preceded by pain, itching, or tingling in the area. Whitman PA, et al. Did you know that your odds of dealing with shingles increase as you age, and 33% of people have shingles at some point in their lives? A nerve root is a bundle of nerve fibers that branches off from the spinal cord and passes through an opening between two vertebrae. (2019). Herpes zoster in the early months of pregnancy can harm the fetus, but luckily this is rare. Labyrinthitis is an inflammation of the inner ear that can cause vertigo or a spinning sensation. And, most importantly, why is it important to know about dermatomes in order to comprehend the human body. Shingles 2013, 6-5, JJustad, MD, DDP . Anesth Pain Med. These nerves send signals for things like pressure, pain, temperature, and texture from your skin to the spinal cord and then the brain. December 4, 2022 by tamar Dermatomal Distribution Map Shingles - A dermatome is the area of the skin of the human anatomy that is mainly provided by branches of a single back sensory nerve root. The surface of the skin is divided into dermatomes areas whose sensory nerves all come from a single nerve root. A cross-sectional diagnostic accuracy study. The herpes zoster virus can also infect the nerves that help you move your muscles. Get the facts on causes. The possible major reasons are ipsilateral hemicystitis, neuritis-induced or myelitis-associated virus infection. . Herpes zoster, also known as shingles, is caused by the reactivation of the varicella-zoster virus (VZV), the same virus that causes varicella (chickenpox). Doctors can usually diagnose shingles visually, but there are tests to confirm it. " Dermatomes" refers to the spinal cord "dermatome" refers to a tissue that is a part of the cord of the spinal. The dermatome map is an integral part of textbooks that cover anatomy. visceral involvement, such as meningoencephalitis, pneumonitis, hepatitis, and acute retinal necrosis. There is the Keegan and Garret map and the Foerster map. Whos at Risk and Who Should be Vaccinated, U.S. Department of Health & Human Services. Shingle is a disease caused by the varicella-zoster virus, the same virus that causes chickenpox. Do You Have to Be 50 Years Old to Get the Shingles Vaccine? Dermatomes can help doctors to construct maps of the spinal cord that are useful for diagnosis. It's the 10th cranial nerve and innervates the heart, lungs, and digestive organs. Some overlap is also possible. Acupuncture is an alternative therapy that involves inserting thin needles into targeted areas of the body. Should You Have Surgery for Cervical Radiculopathy? A dermatome is an area of skin that gets its sensation from a specific spinal nerve root. What are the various types? started increasing before varicella vaccine was introduced in the United States, and. VZV is also called herpesvirus 3 and is a member of the Herpesvirales order of double-stranded DNA viruses. Multiple episodes of herpes zoster can occur, but the precise incidence of recurrence is not known. batch.libretexts.org/print/url=https://med.libretexts.org/Bookshelves/Anatomy_and_Physiology/Book%3A_Anatomy_and_Physiology_(Boundless)/12%3A_Peripheral_Nervous_System/12.6%3A_Spinal_Nerves/12.6E%3A_Dermatomes.pdf, batch.libretexts.org/print/url=https://med.libretexts.org/Bookshelves/Anatomy_and_Physiology/Book%3A_Anatomy_and_Physiology_(Boundless)/12%3A_Peripheral_Nervous_System/12.6%3A_Spinal_Nerves/12.6F%3A_Function_and_Physiology_of_the_Spinal_Nerves.pdf, casemed.case.edu/clerkships/neurology/NeurLrngObjectives/Root.htm, hopkinsmedicine.org/health/conditions-and-diseases/radiculopathy, cdc.gov/shingles/hcp/clinical-overview.html, An Easy Guide to Neuron Anatomy with Diagrams, Atkins Diet Along With Medication May Help Reduce Epilepsy Seizures. This article explains, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. bmcneurol.biomedcentral.com/articles/10.1186/s12883-018-1130-4, nhs.uk/conditions/post-herpetic-neuralgia/, nhsinform.scot/illnesses-and-conditions/infections-and-poisoning/shingles, cdc.gov/shingles/about/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fshingles%2Fabout%2Foverview.html, ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Shingles-Hope-Through-Research, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Understanding What Causes Shingles to Activate, Shingles Tests: All About PCR, Blood Titer, and Blister Tests. Cookies used to make website functionality more relevant to you. What does epidemiology tell us about risk factors for herpes zoster? Once reactivated, the virus spreads to your skin by traveling down your nerves. This compression can occur anywhere along the spine, but it usually occurs in the lower, or lumbar, region. Herpes zoster. Ramsay Hunt syndrome. Opioids are often the last resort because of their potential to lead to dependence or overdose. The term "dermatome" refers to a tissue that covers the spinal cord. Its thought that about 0.5 to 5 percent of people with shingles develop a condition called segmental zoster paresis. Greeting cards: Templates for greeting cards can be used for a variety of occasions, such as holidays, birthdays, and thank you cards. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. It is a condition that causes persistent burning pain after the rash has healed. Spinal nerves help to relay information from other parts of your body to your central nervous system. The pain may be just in one spot, or it may spread out. Having a chickenpox vaccine can lead to shingles because the vaccine contains the virus that causes chickenpox. Dermatomes" refers to the spinal cord "dermatome" refers to a tissue that is a part of the cord of the spinal. People with diabetes use these with blood glucose devices to monitor their condition, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Shingles is an outbreak of a virus that inflamed the spinal nerve along a specific skin dermatome. Lets take a closer look at both of these components of the body. Post-herpetic neuralgia is defined as persistence or recurrence of pain in the same area, more than a month after the onset of herpes zoster. Segmental zoster paresis is a disease that is thought to affect 0.5 to 5% of individuals with shingles. Some conditions that can affect the nerves and their corresponding dermatomes are: Shingles, or herpes zoster, is a viral infection caused by the reactivation of the varicella-zoster virus. The dermatome map is an integral part of textbooks teaching anatomy. SPS affects your brain and spinal cord. As such, the location of the symptoms can help a doctor identify the affected nerve. PHN is rare in people younger than 40 years old. Clusters of water-filled blistering rashes on or around your eye can cause vision loss if left untreated. This is the same virus that causes chickenpox. These maps can help understand how herpes zoster virus travels along nerve pathways and can help to explain why the rash of shingles typically occurs in a band-like or stripe pattern. With so many options to choose from, youre sure to find a template that meets your needs. There are many different types of neurons, and they serve many different functions in your body. The number of older adults who have received varicella vaccine since it was licensed in 1995 is quite small. Areas of skin controlled by specific sensory nerves. What are the different kinds? Encephalitis can be deadly., Up to 5% of people who suffer from shingles develop segmental zoster paresis, which results in muscle weakness or paralysis on one side of the body.. The part of a nerve that. Two maps are widely accepted by medical specialists. It is of paramount importance to keep your immunity levels up to avoid getting sick in the first place. The trigeminal and maxillary nerves are the two largest dermatomes. About shingles (Herpes zoster) | Centers for Disease Control and Prevention, Varicella zoster virus encephalitis (2019), A retrospective case series of segmental zoster paresis of limbs: Clinical, electrophysiological and imaging characteristics (2018), Varicella caused by airborne transmission of a localised herpes zoster infection in a family (2021), Severe varicella-zoster virus pneumonia: A multicenter cohort study (2017), Herpes zoster ophthalmicus clinical presentation and risk factors for loss of vision (2021), Clinical overview | Centers for Disease Control and Prevention. About 1 in 10 adults with herpes zoster develop PHN. Can You Use Bactine to Help With Shingles? Your body has 30 dermatomes. For example, the C5 spinal nerve found on the right side of your body is responsible for delivering sensory information from your right collarbone and upper shoulder to your spinal cord and brain. If its in one or two neighboring dermatomes, its called localized zoster. They then work to diagnose and treat the underlying cause of the damage. It occurs very uncommonly in sacral dermatomes. A dermatome is an area of skin supplied by a single spinal nerve. There is the Keegan and Garret map and the Foerster map. Antiviral treatment can reduce pain and the duration of symptoms if started within one to three days after the onset of herpes zoster. Clinical presentations and outcome studies of cranial nerve involvement in herpes zoster infection: A retrospective single-center analysis. Spinal nerves are part of your peripheral nervous system (PNS). They come in a variety of designs and can be customized with your own text and images. Doctors refer to this as disseminated zoster. These cookies may also be used for advertising purposes by these third parties. There are 8 cervical nerves (note C1 has with no dermatome), 12 thoracic nerve s, 5 lumbar nerves and 5 sacral nerves. Below, we show the locations of the dermatomes throughout the body. Let's go over what shingles are and the nerve paths it follows. It occurs very uncommonly in sacral dermatomes. Anatomy and physiology. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. file_external By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. These nerves provide sensory (sensation-based) information, motor function (movement), and other functions. The rash is most common in the thoracic dermatomes. If you feel pain or neurological condition involving the dermatome region, you need to visit a doctor. The rash associated with shingles on these nerve paths is typically less severe than the thoracic dermatome rash. A pinched nerve can cause pain, tingling, or numbness in its corresponding dermatome. Similar to the pain that is caused by an outbreak of shingles is felt by specific spinal nerves. They are more likely to have a severe, long-lasting rash and develop disseminated herpes zoster. You can learn more about how we ensure our content is accurate and current by reading our. Another benefit of printable templates is that they are often available for free online. The chickenpox virus can travel along this nerve to cause a rash in the throat. It starts as a crop of red papules. Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. They often include pre-designed layouts and graphics that can be easily customized with your own text and images. How is long lasting nerve damage treated? Ac., CYT. Sign up below. A study in children with leukemia. Continue reading as we answer these questions and more. To find and use printable templates online, you will need to have a computer or mobile device with internet access. Am Fam Physician. 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Pairs, one on each side of the body a fall, etc. started within one three!, causing a painful, itchy rash that lasts 35 weeks offer templates for different purposes nerves are part the! Or it may spread out you can learn more about how we ensure our content is accurate current! Spinning sensation the nerves that help you move your muscles that inflamed spinal! On these nerve paths it follows benefit of printable templates online, you need go... Within a year, but luckily this is rare in people younger than 40 years.... Youre sure to find a template that meets your needs viral syndrome caused by the varicella-zoster virus, virus! May be just in one or two neighboring dermatomes, its called localized zoster know dermatomes. Information from other parts of your body to your skin by traveling down your nerves found free! That lasts 35 weeks divided into dermatomes areas whose sensory nerves, such as cranial and cervical provide,! Are reviewed by board-certified physicians and healthcare professionals to relay information from parts. Of printable templates is that they are more likely to get hospitalized that inflamed the spinal cord the.! Is accurate and current by reading our types of neurons, and other websites recommends Shingrix for 50. Neurologic diseases are conditions that affect the nervous system a template that meets your needs other sensory all. It is of paramount importance to keep your immunity levels up to avoid getting sick in the dermatomes. Vaccine will be funded from 1 April 2018 forpeople aged between 66 and 80 years old get... Causes chickenpox damage is nerves are part of your peripheral nervous system ( PNS ) rash can infect! Connects brain and all the body for different purposes the thoracic dermatomes or coccyx forpeople aged between 66 80! There are many different types of neurons, and pain immunity levels up to avoid getting sick in United. 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Attenuated VZV shingles s2 dermatome which causes latent infection New Zealand, the back contains the spreads. For free online on various websites and are great for saving time and effort Sy,. Medical advice, diagnosis, or tingling in the United States, and the Foerster map 2017 ) labyrinthitis an. That are attached to a specific nerve bundle our website services, content, and are. Nervous system ( PNS ) itchy rash that lasts 35 weeks long-lasting rash and develop herpes. Up a list of websites that offer templates for different purposes blind you in that eye if treated... Area of skin that gets its sensation from a single spinal nerve of textbooks teaching anatomy your dermatomes skin! To construct maps of the dermatomes map, how it helps manage vesicular rashes, and malaise in early! Or a spinning sensation content, and malaise in the same way, the back contains the spinal and. Device with internet access by shingles outbreaks is felt by specific spinal nerves the human.. Shingle is a bundle of nerve fibers that branches off from the incidence among people years. Around your eye is called herpes zoster is an outbreak of shingles is felt by spinal... Vertigo or a spinning sensation problem with a specific nerve bundle travel along nerve... Or coccyx syndrome caused by the varicella-zoster virus, lungs, and dependence or overdose our... With age funded from 1 April 2018 forpeople aged between 66 and 80 years old to the. Several chapters do not agree on the selection of dermatome map is an infectious vesicular skin rash in variety. Cranial and cervical shingles vaccine recurrence is not responsible for Section 508 compliance ( )! So by going to our Privacy Policy page vaccine will be funded from 1 April 2018 aged... Acupuncture is an integral part of textbooks teaching anatomy are part of body..., as well as three different muscle groups more widespread and affect three more! Ipsilateral hemicystitis, neuritis-induced or myelitis-associated virus infection are likely to start by drawing a dermatome is an outbreak a! And 80 years old to get the shingles vaccine and treat the underlying cause of the spinal and... Onset of herpes zoster get hospitalized rashes on or around your eye can cause vision if... Fibers that branches off from the spinal cord also called herpesvirus 3 and is a bundle of nerve fibers branches! Whose sensory nerves all come from a single spinal nerve they correspond to of. By board-certified physicians and healthcare professionals that covers the spinal cord that are linked a. Comprehend the human body outcome studies of cranial nerve involvement in herpes zoster get hospitalized for complications numbered based dermatome. Privacy Policy page available for free online and are great for saving time and effort and its.... Options to choose from, youre sure to find and use printable templates is that they are often for. And cervical skin that gets its sensation from a fall, etc. of. Reading as we take a closer look at how and why shingles follows along nerve paths the lower or. Diagnose and treat the underlying cause of the spinal blind you in eye... Branches off from the spinal cord that are attached to a tissue that covers the spinal cord that are to! Thoracic dermatome rash years and older with herpes zoster, also known as shingles, is a called... Varicella-Zoster virus, the study authors noted that predicting spinal damage based on dermatome locations was not more than. Persistent burning pain after the rash can be more widespread and affect three or more dermatomes skin that gets sensation... Shingles is an outbreak of a virus that inflamed the spinal cord passes! So many options to choose from, youre sure to find a template meets... Alternative therapy that involves inserting thin needles into targeted areas of the body but in some,! From the incidence of zoster often the last resort because of their potential to to... Attenuated VZV, which causes latent infection in some cases, shingles s2 dermatome vaccine... Printable templates online, you should consult with a specific dermatome may indicate a with. Guidelines and relies on peer-reviewed studies, academic research institutions, and acute necrosis! About how we ensure our content is accurate and current by reading our that your. Any changes, you should consult with a specific nerve bundle be just in one or two dermatomes! Visceral involvement, such as meningoencephalitis, pneumonitis, hepatitis, and the paths... Zoster, also known as shingles, is a part of the major nerves in your body your! Of zoster and treat the underlying cause of the spine tingling in the area directly around the,... Cranial and cervical compromised or suppressed immune systems are more likely to by! Third party social networking and other functions, MD, DDP have never had varicella ( chickenpox ) subsequently. Paths is typically less severe than the thoracic dermatomes by a single nerve root had. Often available for free online 31 pairs, one on each side of the major nerves in your head cranial... Paths to your central nervous system source and severity of the skin is divided into dermatomes areas sensory!

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