지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 116 - 121 (6page)
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초록· 키워드
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Objective To investigate the predictive value of the sympathetic skin response (SSR) in diagnosing complex regional pain syndrome (CRPS) by comparing three diagnostic modalities−SSR, three-phasic bone scans (TPBS), and thermography.Methods Thirteen patients with severe limb pain were recruited. Among them, 6 were diagnosed with CRPS according to the proposed revised CRPS clinical diagnostic criteria described by the International Association for the Study of Pain. SSR was measured in either the hands or feet bilaterally and was considered abnormal when the latency was prolonged. A positive TPBS finding was defined as diffuse increased tracer uptake on the delayed image. Thermographic findings were considered positive if a temperature asymmetry greater than 1.00oC was detected between the extremities.Results Five of 6 CRPS patients showed prolonged latency on SSR (83% sensitivity). TPBS was positive in the 5 CRPS patients who underwent TPBS (100% sensitivity). Thermography was positive in 4 of 5 CRPS patients who underwent the procedure (80% sensitivity). The remaining 7 non-CRPS patients differed on examination. SSR latencies within normal limit were noted in 4 of 7 non-CRPS patients (57% specificity). Results were negative in 4 of 5 non-CRPS patients who underwent TPBS (80% specificity), and negative in 3 of 5 non-CRPS patients who underwent thermography (60% specificity).Conclusion SSR may be helpful in detecting CRPS.
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등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Bej MD / 1991 / Abnormalities of cutaneous blood flow regulation in patients with reflex sympathetic dystrophy as measured by laser Doppler fluxmetry / Arch Neurol 48 : 912
Birklein F / 2000 / Neurological findings in complex regional pain syndromes: analysis of 145 cases / Acta Neurol Scand 101 : 262 ~ 269
Borchers AT / 2014 / Complex regional painsyndrome: a comprehensive and critical review / Autoimmun Rev 13 : 242 ~ 265
Dettmers C / 1993 / Sympathetic skin response abnormalities in amyotrophic lateral sclerosis / Muscle Nerve 16 : 930 ~ 934
Gierthmuhlen J / 2012 / Sensory signs in complex regional pain syndrome and peripheral nerve injury / Pain 153 : 765 ~ 774
Birklein F / 2000 / Neurological findings in complex regional pain syndromes: analysis of 145 cases / Acta Neurol Scand 101 : 262 ~ 269
Borchers AT / 2014 / Complex regional painsyndrome: a comprehensive and critical review / Autoimmun Rev 13 : 242 ~ 265
Dettmers C / 1993 / Sympathetic skin response abnormalities in amyotrophic lateral sclerosis / Muscle Nerve 16 : 930 ~ 934
Gierthmuhlen J / 2012 / Sensory signs in complex regional pain syndrome and peripheral nerve injury / Pain 153 : 765 ~ 774
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