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KMID : 0363119920050020273
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Korean Journal of Pain
1992 Volume.5 No. 2 p.273 ~ p.278
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Chronic Pain Control of SCI Patients after Cervical Epidural Block
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Abstract
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With the medical progress that has given spinal cord injured (SCI) individuals greater longevity and better overall health, chronic pain is emerged as major challenge in treating this population. According to past reports, estimates of prevalance
of
severe/disabling chronic pain in SCI patients have ranged from 18% to 63%.
In etoglogies of chronic pain in SCI patients, psychic or psychogenic pain categories should be included and more recent data have demonstrated that the persistant pain is directly related to higher levels of psychosocial distress and impairment.
Recently, neurophysiological classification of the SCI pain syndrome into three etiologic groups (a; mechanical pain. b; radicular pain, c; deafferentation pain) is more frequently adopted for the classification of chronic SCI pain syndrome. The
deafferentation pain is most common of the pain syndromes associated with SCI.
After cervical epidural anesthesia for the surgical intervention of decubitus ulcer on the hip of two SCI patients, there were much reduction of existing chronic deafferentation character pain.
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