Neuropathic pain in patients with spinal cord injury: report of 213 patients

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorTEIXEIRA, Manoel Jacobsen
dc.contributor.authorPAIVA, Wellingson Silva
dc.contributor.authorASSIS, Maruska Salles
dc.contributor.authorFONOFF, Erich Talamoni
dc.contributor.authorBOR-SENG-SHU, Edson
dc.contributor.authorCECON, Angelo Daros
dc.date.accessioned2014-01-28T22:24:15Z
dc.date.available2014-01-28T22:24:15Z
dc.date.issued2013
dc.description.abstractObjective: Management of neuropathic pain following spinal cord injury (SCI) can be a frustrating experience for patients since it poses a therapeutic challenge. In this article the authors describe the clinical characteristics of a group of patients with pain after spinal cord injury. Methods: In this retrospective study, 213 patients with SCI and neuropathic pain were assessed. We analyzed clinical characteristics, treatment options, and pain intensity for these patients. Results: The main cause of SCI was spine trauma, which occurred in 169 patients, followed by tumors and infection, complete lesions were verified in 144 patients. In our study, patients with traumatic SCI and partial lesions seem to be presented with more intense pain; however, this was not statistically significant. Conclusions: Neuropathic pain is a common complaint in patients with SCI and presents a treatment challenge. Knowledge of the clinical characteristics of this group of patients may help determine the best approach to intervention.
dc.description.abstractTratamento de dor neuropática após lesão da medula espinhal (LM) representa um desafio terapêutico.e pode ser uma experiência frustrante para os pacientes. Os autores descrevem as características clínicas de um grupo de pacientes tratados com dor após lesão medular. Método Foram avaliados retrospectivamente 213 pacientes com LM e dor neuropática. Em relação a características clínicas, opções de tratamento e intensidade da dor nestes pacientes. Resultados A principal causa foi traumatismo raquimedular, que ocorreu em 169 pacientes, seguida por tumores e infecções. Lesões completas foram verificadas em 144 pacientes. Em nosso estudo, os pacientes com traumatismos e lesões parciais apresentaram dor aparentementemais intensa, no entanto, sem diferença estatisticamente significativa. Conclusão A dor neuropática é uma queixa comum em pacientes com LM e apresenta um desafio para equipe de tratamento. Conhecimento das características clínicas deste grupo de pacientes pode ajudar a determinar a melhor abordagem para intervenção terapêutica.
dc.description.indexMEDLINE
dc.identifier.citationARQUIVOS DE NEURO-PSIQUIATRIA, v.71, n.9A, p.600-603, 2013
dc.identifier.doi10.1590/0004-282X20130103
dc.identifier.issn0004-282X
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/4095
dc.language.isoeng
dc.publisherASSOC ARQUIVOS NEURO- PSIQUIATRIA
dc.relation.ispartofArquivos de Neuro-Psiquiatria
dc.rightsopenAccess
dc.rights.holderCopyright ASSOC ARQUIVOS NEURO- PSIQUIATRIA
dc.subjectspinal cord injury
dc.subjectneuropathic
dc.subjectpain
dc.subjecttreatment
dc.subjectdor neuropática
dc.subjectlesão medular
dc.subjecttratamento
dc.subject.otherclinical characteristics
dc.subject.othermicrosurgical drezotomy
dc.subject.otherstimulation
dc.subject.otherexperience
dc.subject.otherspasticity
dc.subject.othermorphine
dc.subject.otherlesions
dc.subject.otherseries
dc.subject.wosNeurosciences
dc.subject.wosPsychiatry
dc.titleNeuropathic pain in patients with spinal cord injury: report of 213 patients
dc.title.alternativeDor neuropática em pacientes com lesão medular: avaliação em 213 pacientes
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalASSIS, Maruska Salles:Univ Sao Paulo, Sch Med, Div Funct Neurosurg, Sao Paulo, Brazil
hcfmusp.author.externalCECON, Angelo Daros:Univ Sao Paulo, Sch Med, Div Funct Neurosurg, Sao Paulo, Brazil
hcfmusp.citation.scopus16
hcfmusp.contributor.author-fmusphcMANOEL JACOBSEN TEIXEIRA
hcfmusp.contributor.author-fmusphcWELLINGSON SILVA PAIVA
hcfmusp.contributor.author-fmusphcERICH TALAMONI FONOFF
hcfmusp.contributor.author-fmusphcEDSON BOR-SENG SHU
hcfmusp.description.beginpage600
hcfmusp.description.endpage603
hcfmusp.description.issue9A
hcfmusp.description.volume71
hcfmusp.origemWOS
hcfmusp.origem.pubmed24141439
hcfmusp.origem.scieloSCIELO:S0004-282X2013000900600
hcfmusp.origem.scopus2-s2.0-84885056506
hcfmusp.origem.wosWOS:000324604600008
hcfmusp.publisher.citySAO PAULO SP
hcfmusp.publisher.countryBRAZIL
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