6533b7cffe1ef96bd1258651
RESEARCH PRODUCT
Revised Definition of Neuropathic Pain and Its Grading System: An Open Case Series Illustrating Its Use in Clinical Practice
R. SchwabChristian GeberUlf BaumgärtnerMarianne DieterichFrank BirkleinHarald D. MüllerClemens SommerRolf-detlef TreedePeter Stoetersubject
AdultMalemedicine.medical_specialtyMEDLINEPainPhysical examinationDiseaseNeurological disorderSeverity of Illness IndexDiagnosis DifferentialCraniomandibular DisordersBrown-Sequard SyndromeSeverity of illnessmedicineHumansMedical History TakingSomatoform DisordersProspective cohort studyPhysical ExaminationPain Measurementmedicine.diagnostic_testbusiness.industryNeuromyelitis OpticaGeneral MedicineMiddle AgedTrigeminal Neuralgiamedicine.diseaseSurgeryNeuropathic painNeuralgiaPhysical therapyNeuralgiaFemaleUlnar Neuropathiesbusinessdescription
The definition of neuropathic pain has recently been revised by an expert committee of the Neuropathic Pain Special Interest Group of the International Association for the Study of Pain (NeuPSIG) as "pain arising as direct consequence of a lesion or disease affecting the somatosensory system," and a grading system of "definite," "probable," and "possible" neuropathic pain has been introduced. This open case series of 5 outpatients (3 men, 2 women; mean age 48 +/- 12 years) demonstrates how the grading system can be applied, in combination with appropriate confirmatory testing, to diagnosis neuropathic conditions in clinical practice. The proposed grading system includes a dynamic algorithm that enhances the physician's ability to determine with a greater level of certainty whether a pain condition is neuropathic. Its clinical use should be further validated in prospective studies.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2009-10-01 | The American Journal of Medicine |