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.
초록· 키워드
오류제보하기
Background: Thorough evaluation and an accurate diagnosis of neuropathic pain are essential for effective treatment. The therapeutic approach and choice of medication for neuropathic pain are different from those for other kinds of nociceptive pain. Therefore, this study aimed to present the current evaluation and diagnostic methods for neuropathic pain. Current Concepts: Grading of the certainty of the presence of neuropathic pain according to the results of clinical history, neurological examination, and confirmatory tests improves the diagnosis of neuropathic pain. The Leeds Assessment of Neuropathic Symptoms and Signs, Neuropathic Pain Questionnaire, Douleur Neuropathique en 4 Questions, and PainDETECT are mainly used for neuropathic pain screening. During physical examination, sensory nerve function tests are more critical than other nervous system examination items, including the test of the sense of touch with a cotton swab and the sense of vibration with a tuning fork. In addition, pain sensation using pins and temperature sensation using cold metal are tested to check for nociceptive pathway abnormalities. Diagnostic tests include imaging tests, nerve conduction tests, and other neurophysiological tests, such as quantitative sensory function tests, autonomic nerve function tests, and blood tests. Discussion and Conclusion: To diagnose neuropathic pain, physicians should first determine whether patient symptoms match the characteristics of neuropathic pain. If there is a possibility of neuropathic pain, physicians should perform a neurological screening examination and a proper diagnostic test to identify the cause of pain.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Treede RD / 2008 / Neuropathic pain : redefinition and a grading system for clinical and research purposes / Neurology 70:1630~1635
Portenoy RK / 2018 / Cancer pain syndromes / Hematol Oncol Clin North Am 32:371~386
Scholz J / 2019 / The IASP classification of chronic pain for ICD-11 : chronic neuropathic pain / Pain 160:53~59
Baron R / 2017 / Peripheral neuropathic pain : a mechanism-related organizing principle based on sensory profiles / Pain 158:261~272
Finnerup NB / 2016 / Neuropathic pain : an updated grading system for research and clinical practice / Pain 157:1599~1606
Portenoy RK / 2018 / Cancer pain syndromes / Hematol Oncol Clin North Am 32:371~386
Scholz J / 2019 / The IASP classification of chronic pain for ICD-11 : chronic neuropathic pain / Pain 160:53~59
Baron R / 2017 / Peripheral neuropathic pain : a mechanism-related organizing principle based on sensory profiles / Pain 158:261~272
Finnerup NB / 2016 / Neuropathic pain : an updated grading system for research and clinical practice / Pain 157:1599~1606
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