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[PMID]:29303238
[Au] Autor:Mansour BS; Wienecke G; Sadana N; Pouralifazel P; de Armendi A
[Ti] Título:Perioperative Management of a Parturient with Complex Regional Pain Syndrome for Elective C-Section.
[So] Source:J Okla State Med Assoc;110(4):202-4, 2017 04.
[Is] ISSN:0030-1876
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A 33 year-old female at 38 weeks gestation with a history of Complex Regional Pain Syndrome (CRPS) Type 1 of the upper extremities, diagnosed 13 years prior to this admission, was scheduled for an elective cesarean section (C-Section). She refused neuraxial anesthesia and requested general anesthesia. This abstract discusses the general anesthesia steps taken to pre-empt recurrence of CRPS symptoms.
[Mh] Termos MeSH primário: Anestesia Geral
Cesárea
Distrofia Simpática Reflexa/prevenção & controle
Prevenção Secundária
[Mh] Termos MeSH secundário: Adulto
Procedimentos Cirúrgicos Eletivos
Feminino
Seres Humanos
Gravidez
Distrofia Simpática Reflexa/complicações
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE


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[PMID]:28467566
[Au] Autor:Özdemir I; Akbas M; Yegin A; Dagistan G; Erkan DÖ
[Ti] Título:[Spinal cord stimulation in 62 patients: Retrospective evaluation].
[Ti] Título:Spinal kord stimülasyonu uygulanan 62 hastanin retrospektif degerlendirilmesi..
[So] Source:Agri;29(1):25-32, 2017 Jan.
[Is] ISSN:1300-0012
[Cp] País de publicação:Turkey
[La] Idioma:tur
[Ab] Resumo:OBJECTIVES: Spinal cord stimulation (SCS) is used for various indications such as Failed Back Surgey Syndrome, peripheral causalgia, neuropathic pain, complex regional pain syndrome, reflex sympathetic dystrophy, peripheral vascular disease, ischemic heart disease and cancer pain. METHODS: This is a retrospective study. 62 patients applied SCS were included in retrospective study from february 2011-january 2015 in Akdeniz University medicine faculty algology department. We asked about patients' VAS values before and after procedure, analgesic medicine usings, sleep disorders, pleasure after procedure, daily activity improvement and time of going back to work. RESULTS: We found that decrease on the patients' pain severity and improvement on quality of sleep and daily activities. CONCLUSION: As a result; our study and the other studies show that SCS is reliable and effective procedure on chronic pain management.
[Mh] Termos MeSH primário: Síndrome Pós-Laminectomia/terapia
Dor Intratável/terapia
Distrofia Simpática Reflexa/terapia
Estimulação da Medula Espinal
[Mh] Termos MeSH secundário: Adulto
Idoso
Síndrome Pós-Laminectomia/fisiopatologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Medição da Dor
Dor Intratável/fisiopatologia
Distrofia Simpática Reflexa/fisiopatologia
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.5505/agri.2016.08870


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[PMID]:27979741
[Au] Autor:Lascombes P; Mamie C
[Ad] Endereço:Division d'orthopédie pédiatrique, département de l'enfant et de l'adolescent, hôpitaux universitaires de Genève, rue Willy-Donzé 6, 1211 Genève, Switzerland. Electronic address: pierre.lascombes@hcuge.ch.
[Ti] Título:Complex regional pain syndrome type I in children: What is new?
[So] Source:Orthop Traumatol Surg Res;103(1S):S135-S142, 2017 Feb.
[Is] ISSN:1877-0568
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:Complex regional pain syndrome type I (CRPS-I), although first described by the French surgeon Ambroise Paré as far back as the 16th century, nevertheless remains shrouded in mystery. The most common symptoms are pain in an entire hand or foot, allodynia, functional impairment induced by the pain, local oedema and skin color changes and transient sweating abnormalities. Most cases occur after a minor injury (i.e., a sprain or fracture), although there may be no identifiable triggering event, particularly in children. Primarily cold CRPS-I is by far the most common variant in children. Development of the Budapest criteria has benefited the diagnosis. These criteria are clinical and no specific diagnostic investigation is available. In vitro and in vivo studies have established that several pathogenic mechanisms can be involved concomitantly. However, there is no satisfactory explanation to the full clinical spectrum. Blood tests and imaging studies are useful for ruling out other diagnoses then monitoring the course of the condition, which may involve the development of demineralisation or osteopenia. High-resolution peripheral quantitative computed tomography may be helpful, as it provides quantitative assessments of the cortical and trabecular bone. CRPS-I has several specific characteristics in children compared to adults and whether the condition is the same entity in these two age groups is a legitimate question. The optimal management involves an early diagnosis followed by a multidisciplinary management programme of functional rehabilitation therapy and cognitive behavioral therapy. Analgesics are useful only during the phase of acute pain and to facilitate physical therapy. Studies in adults showed that bisphosphonates were effective within the first 12 months after symptom onset and calcitonin in longer-lasting cases. No high-quality clinical research studies into the aetiopathogenesis and treatment of CRPS-I in children and adolescents are available to date.
[Mh] Termos MeSH primário: Distrofia Simpática Reflexa/cirurgia
[Mh] Termos MeSH secundário: Criança
Serviços de Saúde da Criança
Seres Humanos
Procedimentos Ortopédicos
Medição da Dor
Modalidades de Fisioterapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161217
[St] Status:MEDLINE


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[PMID]:27196022
[Au] Autor:McClelland S; Marascalchi BJ; Passias PG; Protopsaltis TS; Frempong-Boadu AK; Errico TJ
[Ad] Endereço:*Division of Spine Surgery, Hospital for Joint Diseases, NYU Langone Medical Center, New York, NY †Department of Anesthesiology, Johns Hopkins Hospital, Baltimore, MD ‡Department of Neurosurgery, NYU Langone Medical Center, New York, NY.
[Ti] Título:Impact of Race and Insurance Status on Surgical Approach for Cervical Spondylotic Myelopathy in the United States: A Population-Based Analysis.
[So] Source:Spine (Phila Pa 1976);42(3):186-194, 2017 Feb.
[Is] ISSN:1528-1159
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:STUDY DESIGN: Retrospective cohort study. OBJECTIVE: The aim of the study was to assess factors potentially impacting the operative approach chosen for cervical spondylotic myelopathy (CSM) patients on a nationwide level. SUMMARY OF BACKGROUND DATA: CSM is one of the most common spinal disorders treated by spine surgeons, with operative management consisting of three approaches: anterior-only, posterior-only, or combined anterior-posterior. It is unknown whether the operative approach used differs based on patient demographics and/or insurance status. METHODS: The nationwide inpatient sample from 2001 to 2010 was used for analysis. Admissions having a diagnosis code of 721.1 and a primary procedure code of 81.02/81.03, 81.32/81.33, 81.02/81.03, or 81.32/81.33 (combined anterior and posterior fusion/refusion at C2 or below), and 3.09 (decompression of the spinal canal including laminoplasty) were included. Analysis was adjusted for several variables including patient age, race, sex, primary payer for care, and admission source/type. RESULTS: Multivariate analyses revealed that non-white race (black [odds ratio, OR = 1.39; 95% confidence interval, CI = 1.32-1.47; P < 0.0001], Hispanic [OR = 1.51; 95% CI = 1.38-1.66; P < 0.0001], Asian/Pacific Islander [OR = 1.40; 95% CI = 1.15-1.70; P = 0.0007], Native American [OR = 1.33; 95% CI = 1.02-1.73; P = 0.037]) and increasing age (OR = 1.03; P < 0.0001) were predictive of receiving posterior-only approaches. Female sex (OR = 1.39; 95% CI = 1.34-1.43; P < 0.0001), private insurance (OR = 1.19; 95% CI = 1.14-1.25; P < 0.0001), and nontrauma center admission type (OR = 1.29-1.39; 95% CI = 1.16-1.56; P < 0.0001) were independently predictive of increased likelihood of receiving an anterior-only approach. Hispanic race (OR = 1.35; 95% CI = 1.14-1.59; P = 0.0004) and admission source (another hospital [OR = 1.65; 95% CI = 1.20-2.27; P = 0.0023], other health facility [OR = 1.68; 95% CI = 1.13-2.51; P = 0.011]) were the only variables predictive of increased combined anterior-posterior approaches; Native American race (OR = 0.32; 95% CI = 0.13-0.78; P = 0.013) decreased the likelihood of a combined anterior-posterior approach. CONCLUSION: Private insurance status, female sex, and white race independently predict receipt of anterior-only CSM approaches, whereasd non-white race (black, hispanic, Asian/Pacific Islander, Native American) and nonprivate insurance predict receiving posterior-only CSM approaches. Given recent literature demonstrating posterior-only approaches as predictive of increased mortality in CSM (Kaye et al, 2015), our findings indicate that for CSM patients, non-white race may significantly increase mortality risk, whereas private insurance status may significantly decrease the risk of mortality. Further prospective study will be needed to more definitively address these issues. LEVEL OF EVIDENCE: 3.
[Mh] Termos MeSH primário: Vértebras Cervicais/cirurgia
Cobertura do Seguro/estatística & dados numéricos
Espondilose/cirurgia
[Mh] Termos MeSH secundário: Afroamericanos
Grupos de Populações Continentais
Descompressão Cirúrgica/métodos
Feminino
Hispano-Americanos
Seres Humanos
Laminectomia/métodos
Laminoplastia/métodos
Masculino
Estudos Prospectivos
Distrofia Simpática Reflexa/mortalidade
Distrofia Simpática Reflexa/cirurgia
Fusão Vertebral/métodos
Osteofitose Vertebral/cirurgia
Resultado do Tratamento
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160520
[St] Status:MEDLINE
[do] DOI:10.1097/BRS.0000000000001693


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[PMID]:28133007
[Au] Autor:Hayashi K; Nishiwaki K; Kako M; Suzuki K; Hattori K; Sato K; Kadono I; Nishida Y
[Ad] Endereço:Department of Rehabilitation, Nagoya University Hospital.
[Ti] Título:Combination of Continuous Epidural Block and Rehabilitation in a Case of Complex Regional Pain Syndrome.
[So] Source:J Nippon Med Sch;83(6):262-267, 2016.
[Is] ISSN:1347-3409
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Epidural analgesia is used to promote rehabilitation in patients with refractory complex regional pain syndrome (CRPS) who cannot bear physical programs due to intense pain. However, the actual rehabilitation process has not been focused in previous reports. Here, we outline our experience of treating a young woman with CRPS type 1 who underwent rehabilitation facilitated by a continuous lumbar epidural block. A 15-year-old girl developed throbbing pain from her left toe to her ankle, with no obvious cause. She was admitted to the hospital 2 months after symptom onset for an assessment of pain intensity, range of motion, weight-bearing, neglect-like symptoms, pain catastrophizing, and a CRPS severe score with impaired activities of daily living. The rehabilitation program was initiated under facilitation of continuous epidural block. Her rehabilitation program included physical therapy, motor imagery, mirror therapy, and cognitive behavioral therapy. The intensity of the exercise was gradually increased without exacerbating her symptoms. Ultimately, she recovered completely after a continuous epidural block for 21 days and rehabilitation for 80 days. A combination of continuous epidural block and intensive rehabilitation improved the symptoms of this patient. The treatment course would be helpful for planning rehabilitation programs in other patients with CRPS.
[Mh] Termos MeSH primário: Analgesia Epidural/métodos
Bloqueio Nervoso/métodos
Distrofia Simpática Reflexa/reabilitação
Distrofia Simpática Reflexa/terapia
[Mh] Termos MeSH secundário: Adolescente
Terapia Cognitiva
Feminino
Seres Humanos
Modalidades de Fisioterapia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170608
[Lr] Data última revisão:
170608
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170131
[St] Status:MEDLINE
[do] DOI:10.1272/jnms.83.262


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[PMID]:28045417
[Au] Autor:Parikh RP; Deshmukh P
[Ad] Endereço:Government Medical College & Super Speciality Hospital, Nagpur, India. rohanpparikh@yahoo.co.in.
[Ti] Título:Complex regional pain syndrome after transfemoral coronary balloon angioplasty.
[So] Source:Turk Kardiyol Dern Ars;44(8):694-696, 2016 Dec.
[Is] ISSN:1308-4488
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:Presently described is the case of a 55-year-old man who developed localized pain, allodynia, hyperpathia, and swelling over the right ankle joint following coronary balloon angioplasty, which had been performed via right femoral arterial access. Bone scan confirmed the diagnosis of complex regional pain syndrome. Various analgesics were administered, along with physiotherapist-assisted exercise. The present is the first reported case of complex regional pain syndrome presenting as remote postprocedural complication of transfemoral coronary balloon angioplasty.
[Mh] Termos MeSH primário: Angioplastia Coronária com Balão/efeitos adversos
Distrofia Simpática Reflexa/diagnóstico
[Mh] Termos MeSH secundário: Tornozelo
Diagnóstico Diferencial
Artéria Femoral
Seres Humanos
Masculino
Meia-Idade
Complicações Pós-Operatórias/diagnóstico
Complicações Pós-Operatórias/etiologia
Distrofia Simpática Reflexa/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170104
[St] Status:MEDLINE
[do] DOI:10.5543/tkda.2016.96507


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[PMID]:28033251
[Au] Autor:Cho CW; Nahm FS; Choi E; Lee PB; Jang IK; Lee CJ; Kim YC; Lee SC
[Ad] Endereço:aDepartment of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam bZeropain Clinic cDepartment of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.
[Ti] Título:Multicenter study on the asymmetry of skin temperature in complex regional pain syndrome: An examination of temperature distribution and symptom duration.
[So] Source:Medicine (Baltimore);95(52):e5548, 2016 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:According to the International Association for the Study of Pain (IASP) and American Medical Association (AMA), the diagnostic criteria for complex regional pain syndrome (CRPS) require the presence of skin temperature asymmetry. In CRPS, it is generally accepted that the temperature of skin of affected limbs changes from warm to cold; however, in our clinical practice, we have experienced many cases with different thermographic characteristics. Therefore, we conducted a retrospective multicenter study that examined the distribution of skin temperature in patients with CRPS and skin temperature asymmetry versus symptom duration.Patients diagnosed with type 1 or 2 CRPS were recruited. After confirming CRPS according to the IASP diagnostic criteria, infrared thermographic images were evaluated for skin temperature differences (ΔT) between the affected and unaffected limbs.A total of 296 patients with CRPS were included in this study. The median duration of symptoms was 6 months and the mean ±â€Šstandard deviation of ΔT was -0.72 ±â€Š1.65°C. A skin temperature difference between bilateral limbs (|ΔT|) of 1°C or less was seen in 131 patients (44.3%); thus, these 131 patients did not meet the IASP criteria for CRPS. Further, cool skin temperature was not observed in 88 patients (29.7%), meaning that these patients did not meet the AMA criteria for CRPS. There was no correlation between the symptom duration and ΔT (Spearman's rho = -0.075, P = 0.196) and there was no significant difference in the average ΔT among the 4 symptom duration groups (0-3 months, 4-6 months, 7-12 months, >12 months, P = 0.08).In conclusion, a considerable proportion of the patients that participated in this study did not meet the thermal criteria set forth by the IASP and AMA. Further, there was no correlation between symptom duration and skin temperature difference.
[Mh] Termos MeSH primário: Causalgia/diagnóstico
Síndromes da Dor Regional Complexa/diagnóstico
Distrofia Simpática Reflexa/diagnóstico
Temperatura Cutânea
[Mh] Termos MeSH secundário: Adulto
Causalgia/fisiopatologia
Síndromes da Dor Regional Complexa/fisiopatologia
Extremidades/fisiopatologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Guias de Prática Clínica como Assunto
Distrofia Simpática Reflexa/fisiopatologia
Estudos Retrospectivos
Termografia
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170224
[Lr] Data última revisão:
170224
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161230
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000005548


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[PMID]:28025369
[Au] Autor:Bullen M; Lang C; Tran P
[Ad] Endereço:*Western Health Department of Orthopaedics, Melbourne, Victoria michael.bullen@wh.org.au.
[Ti] Título:Incidence of Complex Regional Pain Syndrome I Following Foot and Ankle Fractures Using the Budapest Criteria.
[So] Source:Pain Med;17(12):2353-2359, 2016 Dec.
[Is] ISSN:1526-4637
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE : Fractures are a well-recognized inciting event in the development of complex regional pain syndrome. This study aimed to prospectively determine the incidence of complex regional pain syndrome following foot and ankle fractures. METHODS : A prospective study was conducted of patients presenting to two metropolitan hospitals with plain radiograph diagnosis of fractures to the foot or ankle. Patients were initially screened by phone 3 months after injury using the validated International Association for the Study of Pain Budapest criteria. Patients who fulfilled the screening criteria were then physically examined by a pain specialist to assess clinical signs as part of the Budapest criteria. RESULTS : A total of 306 consecutive eligible patients were included. One hundred and ten patients reported at least one symptom of complex regional pain syndrome; however, only three fulfilled the minimum requirements to necessitate clinical review. Of these three, only one patient fulfilled the combination of symptom and sign criteria for a positive diagnosis according to the validated Budapest criteria. The incidence of complex regional pain syndrome following foot and ankle fracture in this study was 0.3%. CONCLUSION : Although many patients may experience vasomotor, sensory, and sudomotor disturbance following a fracture to the foot and ankle, the observed incidence of complex regional pain syndrome using a prospectively collected validated criteria is significantly lower than previously published.
[Mh] Termos MeSH primário: Fraturas do Tornozelo/complicações
Traumatismos do Pé/complicações
Distrofia Simpática Reflexa/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos de Coortes
Feminino
Seres Humanos
Incidência
Masculino
Meia-Idade
Estudos Prospectivos
Distrofia Simpática Reflexa/etiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161228
[St] Status:MEDLINE
[do] DOI:10.1093/pm/pnw055


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[PMID]:27906935
[Au] Autor:Kalita J; Misra U; Kumar A; Bhoi SK
[Ad] Endereço:Department of Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow 226014, India.
[Ti] Título:Long-term Prednisolone in Post-stroke Complex Regional Pain Syndrome.
[So] Source:Pain Physician;19(8):565-574, 2016 Nov-Dec.
[Is] ISSN:2150-1149
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There is no study on the long-term use of prednisolone in post-stroke complex regional pain syndrome-1 (CRPS1). OBJECTIVE: To evaluate the efficacy and safety of long-term low dose prednisolone in post-stroke CRPS-I. STUDY DESIGN: Open-labeled randomized controlled trial. SETTING: Tertiary care teaching institute. METHODS: Seventy-seven out of 396 (19.4%) patients with stroke had CRPS-1 and 58 met the inclusion criteria. Their clinical details and CRPS, Visual Analogue Scale (VAS), modified Rankin Scale (mRS), and Barthel Index (BI) scores were noted. The patients were prescribed 40 mg prednisolone for 2 weeks followed by tapering in the next 2 weeks. Patients who responded were randomly assigned prednisolone 10 mg daily (group I) or no prednisolone (group II). They were followed up for the first and second month of randomization and their CRPS, VAS, mRS, and BI scores were noted. The primary outcome was improvement in CRPS score and secondary outcomes were VAS, mRS, BI scores, and severe adverse events (SAE). RESULTS: Fifty-six of fifty-eight (96.5%) patients responded to the initial high dose prednisolone and 26 each were assigned group I and group II treatment. Group I patients had further improvement in CRPS score. Fifty percent of patients in group II had deterioration at one month and needed reinstitution of prednisolone; following which 77% of them improved in the next month. The improvement in CRPS score paralleled the VAS score but not mRS and BI scores in the first and second months in group I compared to group II. There was no SAE necessitating withdrawal of prednisolone. LIMITATION: The design of the study is not double blind. CONCLUSION: In post-stroke CRPS-I, continuation of low dose prednisolone for 2 months is safe and effective.Key words: Shoulder hand syndrome, CRPS, corticosteroid, prednisolone, stroke, Visual Analogue Scale.
[Mh] Termos MeSH primário: Anti-Inflamatórios/uso terapêutico
Síndromes da Dor Regional Complexa/tratamento farmacológico
Prednisolona/uso terapêutico
Acidente Vascular Cerebral/complicações
[Mh] Termos MeSH secundário: Seres Humanos
Distrofia Simpática Reflexa
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Anti-Inflammatory Agents); 9PHQ9Y1OLM (Prednisolone)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170721
[Lr] Data última revisão:
170721
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161202
[St] Status:MEDLINE


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[PMID]:27887906
[Au] Autor:Christophe L; Delporte L; Revol P; DePaepe A; Rode G; Jacquin-Courtois S; Rossetti Y
[Ad] Endereço:Plate-forme 'Mouvement et Handicap' and Neuro-Immersion, Hôpital Henry-Gabrielle and Hôpital neurologique, Hospices Civils de Lyon, 20, route de Vourles, 69230 Saint-Genis-Laval, France; Service de rééducation neurologique, pavillon Bourret, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, 20, rout
[Ti] Título:Complex regional pain syndrome associated with hyperattention rather than neglect for the healthy side: A comprehensive case study.
[So] Source:Ann Phys Rehabil Med;59(5-6):294-301, 2016 Dec.
[Is] ISSN:1877-0665
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Complex regional pain syndrome (CRPS) is a dehabilitating chronic condition occurring with peripheral lesions. There is growing consensus for a central contribution to CRPS. Although the nature of this central body representation disorder is increasingly debated, it has been repeatedly argued that CRPS results in motor neglect of the affected side. The present article describes a comprehensive and quantitative case report demonstrating that: (1) not all patients with chronic CRPS exhibit decreased spatial attention for the affected side and (2) patients may actually exhibit a substantial, broad and reliable attentional bias toward the painful side, akin to spatial neglect for the healthy side. This unexpected result agrees with the idea that patients can be hyper-attentive toward their pathological side as a manifestation of lowered pain threshold, allodynia and kinesiophobia.
[Mh] Termos MeSH primário: Viés de Atenção
Dor Musculoesquelética/psicologia
Transtornos da Percepção/psicologia
Distrofia Simpática Reflexa/psicologia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Meia-Idade
Dor Musculoesquelética/etiologia
Medição da Dor
Transtornos da Percepção/etiologia
Distrofia Simpática Reflexa/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170322
[Lr] Data última revisão:
170322
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161127
[St] Status:MEDLINE



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