neuroreha 2016; 08(03): 117-121
DOI: 10.1055/s-0042-112121
Schwerpunkt Neuroreha nach Querschnittlähmung
Georg Thieme Verlag KG Stuttgart · New York

Neuropathische Schmerzen nach Querschnittlähmung

Gunther Landmann
,
Martin Lotze
Further Information

Publication History

Publication Date:
09 September 2016 (online)

Zusammenfassung

Häufig treten in der Folge einer Querschnittlähmung neuropathische Schmerzen auf, die den Patienten zusätzlich belasten. Die Schmerztherapie erfolgt multimodal: physio- und ergotherapeutisch, verhaltenstherapeutisch, medikamentös oder interventionell. Doch auch die Deafferenzierung, eine Unterbrechung des Signaltransports peripherer sensorischer Informationen zum Gehirn, beeinflusst das Schmerzgeschehen.

 
  • Literatur

  • 1 Arnold B, Brinkschmidt T, Casser HR et al. Multimodale Schmerztherapie: Konzepte und Indikation. Schmerz 2009; 23 (2) 112-120
  • 2 Backonja MM, Attal N, Baron R et al. Value of quantitative sensory testing in neurological and pain disorders: NeuPSIG consensus. Pain 2013; 154 (9) 1807-1819
  • 3 Boesch E, Bellan V, Moseley GL et al. The effect of bodily illusions on clinical pain: A systematic review and meta-analysis. Pain 2016; 157 (3) 516-529
  • 4 Brinkhof MW, Al-Khodairy A, Eriks-Hoogland I et al. Health conditions in people with spinal cord injury: Contemporary evidence from a population-based community survey in Switzerland. J Rehabil Med 2016; 48 (2) 197-209
  • 5 Brunner H. Frühe Therapie nach Querschnitt. neuroreha 2016; 8 (3) 122-125
  • 6 Bryce TN, Biering-Sorensen F, Finnerup NB et al. International spinal cord injury pain classification: Part I. Background and description. March 6–7, 2009. Spinal Cord 2012; 50 (6) 413-417
  • 7 Curt A, Ellaway PH. Clinical neurophysiology in the prognosis and monitoring of traumatic spinal cord injury. Handb Clin Neurol 2012; 109: 63-75
  • 8 Dworkin RH, O’Connor AB, Backonja M et al. Pharmacologic management of neuropathic pain: Evidence-based recommendations. Pain 2007; 132 (3) 237-251
  • 9 Eick J, Richardson EJ. Cortical activation during visual illusory walking in persons with spinal cord injury: A pilot study. Arch Phys Med Rehabil 2015; 96 (4) 750-753
  • 10 Finnerup NB, Otto M, McQuay HJ et al. Algorithm for neuropathic pain treatment: An evidence based proposal. Pain 2005; 118 (3) 289-305
  • 11 Finnerup NB, Baastrup C. Spinal cord injury pain: Mechanisms and management. Current Pain and Headache Reports 2012; 16 (3) 207-216
  • 12 Finnerup NB, Norrbrink C, Trok K et al. Phenotypes and predictors of pain following traumatic spinal cord injury: A prospective study. The Journal of Pain: Official Journal of the American Pain Society 2014; 15 (1) 40-48
  • 13 Finnerup NB, Attal N, Haroutounian S et al. Pharmacotherapy for neuropathic pain in adults: A systematic review and meta-analysis. The Lancet Neurology 2015; 14 (2) 162-173
  • 14 Finnerup NB, Jensen MP, Norrbrink C et al. A prospective study of pain and psychological functioning following traumatic spinal cord injury. Spinal Cord 2016; 1 (10) 236
  • 15 Haanpaa M, Attal N, Backonja M et al. NeuPSIG guidelines on neuropathic pain assessment. Pain 2011; 152 (1) 14-27
  • 16 Klink R, Schempp A, Habert K. Alltag im Rollstuhl – die passende Rollstuhlversorgung für Querschnittgelähmte. neuroreha 2016; 8 (3) 139-142
  • 17 Jutzeler CR, Huber E, Callaghan MF et al. Association of pain and CNS structural changes after spinal cord injury. Sci Rep 2016; 6 (18534) 18534
  • 18 Llinas RR, Ribary U, Jeanmonod D et al. Thalamocortical dysrhythmia: A neurological and neuropsychiatric syndrome characterized by magnetoencephalography. Proc Natl Acad Sci U S A 1999; 96 (26) 15222-15227
  • 19 Lotze M, Laubis-Hermann U, Topka H. Combination of TMS and fMRI reveals a specific pattern of reorganization in M1 in patients after complete SCI. Restorative Neurology and Neuroscience 2006; 24 (2) 97-107
  • 20 Mahnig S, Landmann G, Stockinger L et al. Pain assessment according to the International Spinal Cord Injury Pain classification in patients with spinal cord injury referred to a multidisciplinary pain center. Spinal Cord 2016; DOI: 10.1038/sc.2015.219.
  • 21 Martin E, Jeanmonod D, Morel A et al. High-intensity focused ultrasound for noninvasive functional neurosurgery. Annals of Neurology 2009; 66 (6) 858-861
  • 22 Norrbrink C, Lofgren M. Needs and requests – patients and physicians voices about improving the management of spinal cord injury neuropathic pain. Disabil Rehabil 2016; 38 (2) 151-158
  • 23 Rubinelli S, Glassel A, Brach M. From the person’s perspective: Perceived problems in functioning among individuals with spinal cord injury in Switzerland. J Rehabil Med 2016; 48 (2) 235-243
  • 24 Sarnthein J, Stern J, Aufenberg C et al. Increased EEG power and slowed dominant frequency in patients with neurogenic pain. Brain 2006; 129 (Pt 1) 55-64
  • 25 Sarnthein J, Jeanmonod D. High thalamocortical theta coherence in patients with neurogenic pain. Neuroimage 2008; 39 (4) 1910-1917
  • 26 Siddall PJ, McClelland JM, Rutkowski SB et al. A longitudinal study of the prevalence and characteristics of pain in the first 5 years following spinal cord injury. Pain 2003; 103 (3) 249-257
  • 27 Siddall PJ. Management of neuropathic pain following spinal cord injury: Now and in the future. Spinal Cord 2009; 47 (5) 352-359
  • 28 Treede RD, Jensen TS, Campbell JN et al. Neuropathic pain: Redefinition and a grading system for clinical and research purposes. Neurology 2008; 70 (18) 1630-1635
  • 29 Watts J, Box GA, Galvin A et al. Magnetic resonance imaging of intramedullary spinal cord lesions: A pictorial review. Journal of Medical Imaging and Radiation Oncology 2014; 58 (5) 569-581
  • 30 Wrigley PJ, Press SR, Gustin SM et al. Neuropathic pain and primary somatosensory cortex reorganization following spinal cord injury. Pain 2009; 141 (1–2) 52-59
  • 31 Wydenkeller S, Maurizio S, Dietz V et al. Neuropathic pain in spinal cord injury: Significance of clinical and electrophysiological measures. The European Journal of Neuroscience 2009; 30 (1) 91-99