|
KMID : 1037820140030020078
|
|
Journal of Pain and Autonomic Disorders
2014 Volume.3 No. 2 p.78 ~ p.82
|
|
|
Korean Verbal Pain Description in Diverse Neuropathic Pain
|
|
Song Seung-Hoon
Park So-Hee
Kim Jeong-Hee
Jeong Moon-Young
Oh Jee-Young
|
|
|
Abstract
|
|
|
Background: Neuropathic pain is caused by disease or damage affecting somatosensory system and usually classified by the anatomical lesion or etiologies. The aim of our study was to investigate whether sensory symptoms are characteristically associated with types of nerve lesion, if any, which symptoms are more relevant with its underlying cause and mechanism.
Methods: Patients were recruited from Neurology clinic of Konkuk University Medical Center between May 2013 and October 2013. Chronic neuropathic pain was confirmed by neurologic examination, nerve conduction study, and spinal cord or brain magnetic resonance image. Patients who had pain more than two etiologies such as diabetic neuropathic pain and arthritis or radiculopathy with post-stroke pain were excluded in this study. Patients underwent history taking, neurologic examination and were interviewed to fill in the Korean Neuropathic Pain Questionnaire.
Results: Sixty eight patients were divided them into four groups according to the anatomical and etiological diagnosis encompassing peripheral nerve (n = 35), spinal cord (n = 10), brain (n = 15), and trigeminal neuralgia (n = 8). ‘Tingling’ and ‘numbness’ were most common complaints of the patients with peripheral nerve, spinal cord, and brain lesions. Other distinguishing symptoms are ‘electrical shock’ in peripheral nerve (69%), ‘squeezing or pressure’ in spinal cord (60%), ‘pressure’ in brain (48%). ‘Electric shock’ (75%) was main sensory symptoms in the patients with trigeminal neuralgia.
Conclusions: Our study demonstrated significant relationship between distinct sensory symptoms of neuropathic pain condition and underlying anatomical lesion. Verbal pain descriptor could help physicians to reason and assess the cause of neuropathic pain.
|
|
|
KEYWORD
|
|
|
Neurppathic pain, Neualgia, Symptom
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|