[Pain and cervical dystonia].

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Schmerz Pub Date : 2024-02-01 Epub Date: 2024-01-24 DOI:10.1007/s00482-024-00790-5
Feline Hamami, Tobias Bäumer
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引用次数: 0

Abstract

Background: Dystonia is a hyperkinetic movement disorder that results in twisting, cramps and tremors due to sustained or intermittent muscle contractions. Cervical dystonia is the most common form of dystonia, in which the head, neck and/or shoulder areas are affected. In addition to these motor symptoms, pain and psychiatric symptoms are frequent in (cervical) dystonia.

Objective: Description of the incidence and evaluation of pain in cervical dystonia, summary and discussion of treatment options and effects.

Material and methods: In this review article the results in the scientific literature on pain in dystonia are summarized and discussed.

Results: Compared to other forms of dystonia, pain occurs most frequently in patients with cervical dystonia. A large proportion of patients with cervical dystonia suffer from pain, which contributes most to impairment of the patient. The motor symptoms of dystonia are usually treated with botulinum toxin injections. These have a muscle relaxing effect and also relieve pain. The study situation on the occurrence and treatment of pain in other forms of dystonia is so far very limited. Pain can dominate the clinical picture in patients with cervical dystonia. Evaluation of pain in cervical dystonia can be performed using standardized questionnaires.

Conclusion: It is important to ask patients with cervical dystonia about pain and to consider it in treatment planning and evaluation. Vice versa, if pain is present the possibility of a causative dystonia should also be considered. For pain assessment there are some newly developed questionnaires to assess pain in a standardized way in patients with dystonia. Further research is needed to better understand the pathomechanisms of pain in dystonia.

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[疼痛与颈肌张力障碍]。
背景:肌张力障碍是一种运动功能亢进性疾病,由于肌肉持续或间歇性收缩而导致扭曲、痉挛和震颤。颈肌张力障碍是肌张力障碍中最常见的一种,患者的头部、颈部和/或肩部都会受到影响。除了这些运动症状外,(颈型)肌张力障碍患者还经常出现疼痛和精神症状:描述颈性肌张力障碍中疼痛的发生率和评估,总结和讨论治疗方案和效果:在这篇综述文章中,对有关肌张力障碍疼痛的科学文献结果进行了总结和讨论:与其他形式的肌张力障碍相比,颈性肌张力障碍患者的疼痛发生率最高。大部分颈肌张力障碍患者都患有疼痛,这也是导致患者功能受损的主要原因。肌张力障碍的运动症状通常通过注射肉毒杆菌毒素来治疗。肉毒毒素具有肌肉松弛作用,还能缓解疼痛。迄今为止,关于其他形式肌张力障碍的疼痛发生和治疗的研究还非常有限。疼痛在颈肌张力障碍患者的临床表现中占主导地位。对颈性肌张力障碍患者疼痛的评估可以使用标准化的问卷:结论:询问颈肌张力障碍患者的疼痛情况,并在治疗计划和评估中加以考虑非常重要。反之亦然,如果存在疼痛,也应考虑肌张力障碍致病的可能性。在疼痛评估方面,有一些新开发的问卷可以对肌张力障碍患者的疼痛进行标准化评估。要更好地了解肌张力障碍患者疼痛的病理机制,还需要进一步的研究。
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来源期刊
Schmerz
Schmerz 医学-临床神经学
CiteScore
2.00
自引率
20.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
期刊最新文献
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