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首页> 外文期刊>Acute pain: international journal of acute pain management >Acute neuropathic pain: Pain in neurological diseases
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Acute neuropathic pain: Pain in neurological diseases

机译：急性神经性疼痛：神经系统疾病的疼痛

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摘要

Pain is a cardinal symptom in a variety of primary neurological disorders. This discussion will focus on neuropathic pain of central origin to consider pathophysiology mechanisms and a rational approach to management.More than 5% of patients develop central pain after acute stroke. This is occasionally seen in the acute phase but it is more often identified in the rehabilitation phase or up to a year and a half after the stroke. Management is often unsatisfactory because the patient may have difficulty in communicating the distribution and severity of pain. Co-morbidities may interfere with optimal pain management.Approximately 45% of patients with multiple sclerosis and will experience severe neuropathic pain as part of their demyelinating disease. The mechanisms are generally logical in relation to anatomical distribution of active plaques and similar principles of management apply to M.S. patients as to stroke and spinal injury patients.
机译：疼痛是多种原发性神经系统疾病的主要症状。本次讨论将集中于中枢性起源的神经性疼痛，以考虑病理生理机制和合理的治疗方法。超过5％的患者在急性中风后发展为中枢性疼痛。这在急性期偶尔可见，但在康复期或中风后长达一年半的时间更常见。由于患者可能难以传达疼痛的分布情况和严重程度，因此管理常常不能令人满意。合并症可能会干扰最佳的疼痛管理，大约45％的多发性硬化症患者会发生严重的神经性疼痛，这是其脱髓鞘疾病的一部分。这些机制通常与活动斑块的解剖分布有关，并且类似的管理原则适用于M.S.患者为中风和脊柱损伤患者。

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