[Neurogenic pain after deafferentation through trauma. Little-known pain syndrome following amputation, brachial plexus injury and nerve root avulsion].

Fortschritte der Medizin Pub Date : 1999-05-10
U Thoden
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Abstract

Amputations may be followed by such phenomena as phantom-limb pain, and pain and involuntary movements of the stump. The sequelae of brachial plexus injuries or cervical root avulsion--the second large group of deafferentiation lesions associated with neurogenic pain--are less varied, and most of these cases involve damage to the substantia gelatinosa of the spinal cord. The two groups of deafferentiation lesions are described on the basis of our own experience and reports in the literature. A generally applicable effective form of treatment is not known, and possible therapeutic approaches, which need to be adapted individually, are discussed.

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外伤引起的神经源性疼痛。截肢、臂丛损伤和神经根撕脱伤后鲜为人知的疼痛综合征。
截肢后可能会出现幻肢痛、残肢疼痛和不自主运动等现象。臂丛损伤或颈根撕脱伤(与神经性疼痛相关的第二大脱神经损伤)的后遗症较少,大多数病例涉及脊髓明胶质的损伤。这两组失分化病变是根据我们自己的经验和文献报道来描述的。一种普遍适用的有效治疗形式尚不清楚,并讨论了可能的治疗方法,这些方法需要单独适应。
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