Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1590/S0034-70942011000500014
Brazilian Journal of Anesthesiology
Review Article

Neuropatias periféricas dolorosas

Painful peripheral neuropathies

Durval Campos Kraychete; Rioko Kimiko Sakata

Downloads: 0
Views: 1074

Resumo

JUSTIFICATIVA E OBJETIVOS: As neuropatias dolorosas são frequentes e muitas vezes de difícil tratamento. O objetivo deste texto foi fazer uma revisão para facilitar o diagnóstico e o alívio da dor. CONTEÚDO: Descreveram-se a classificação, as causas, o tipo de fibra envolvida, as manifestações, o diagnóstico, os exames complementares, os questionários usados para diagnóstico e os tratamentos. CONCLUSÕES: O tema é bastante amplo e envolve diversas causas e tratamentos que muitas vezes devem ser associados para o controle adequado da dor.

Palavras-chave

DOR, TÉCNICAS DE MEDIÇÃO

Abstract

BACKGROUND AND OBJECTIVES: Painful neuropathies are common and often difficult to treat. The objective of this report was to review the subject to facilitate diagnosis and pain relief. CONTENTS: The classification, causes, type of fibers involved, manifestations, diagnosis, adjuvant tests, questionnaires used in the diagnosis, and treatment are described. CONCLUSIONS: The subject is very broad and involves several causes and treatments that often should be combined to obtain adequate pain control.

Keywords

Polyneuropathies, Pain Measurement, Signs and Symptoms

References

Martyn CN, Hughes RA. Epidemiology of peripheral neuropathy. J Neurol Neurosurg Psy. 1997;62:310-318.

Barohn RJ. Approach to peripheral neuropathy and neuronopathy. Semin Neurol. 1998;18:7-18.

Rosenberg NR, Portegies P, de Visser M. Diagnostic investigation of patients with chronic polyneuropathy: evaluation of a clinical guideline. J Neurol Neurosurg Psy. 2001;71:205-209.

Stojkovic T. Peripheral neuropathies: the rational diagnostic process. Rev Med Intern. 2006;27:302-312.

Cornell RS, Ducic I. Painful diabetic neuropathy. Clin Podiatr Med Surg. 2008;25:347-360.

Edwards JL, Vincent AM, Cheng HT. Diabetic neuropathy: mechanisms to management. Pharmacol Ther. 2008;120:1-34.

Delalande S, de Seze J, Fauchais AL. Neurological manifestations in primary Sjögren syndrome: a study of 82 patients. Medicine. 2004;83:280-291.

Mauermann ML, Burns TM. Pearls and oysters: evaluation of peripheral neuropathies. Neurology. 2009;72:28-31.

Rocha AC, Kraychete DC, Lemonica L. Dor: Aspectos Atuais da sensibilização periférica e central. Rev Bras Anestesiol. 2007;57(1):94-105.

Kraychete DC, Gozzani JL, Kraychete AC. Dor neuropática: aspectos neuroquímicos. Rev Bras Anestesiol. 2008;58(5):498-505.

Jensen TS, Baron R. Translation of symptoms and signs into mechanisms in neuropathic pain. Pain. 2003;102:1-8.

Horowitz SH. The diagnostic workup of patients with neuropathic pain. Anesthesiol Clin. 2007;25(4):699-708.

Rasmussen PV, Sindrup SH, Jensen TS. Symptoms and signs in patients with suspected neuropathic pain. Pain. 2004;110(1-2):461-469.

Bennett MI, Attal N, Backonja MM. Using screening tools to identify neuropathic pain. Pain. 2007;127:199-203.

Bennett MI, Smith BH, Torrance N. Can pain can be more or less neuropathic?: Comparison of symptom assessment tools with ratings of certainty by clinicians. Pain. 2006;122(3):289-294.

Vallat JM, Magy L. Peripheral neuropathies: an overview. EMC-Neurol. 2005;2:175-181.

Pascuzzi RM. Peripheral neuropathy. Med Clin N Am. 2009;90:317-342.

Perrot S, Trèves R. Les douleurs neuropathiques en rhumatologie. Rev Rhum. 2002;69:961-970.

Cruccu G, Truin A. Tools for Assessing Neuropathic Pain. PLoS Med. 2009;6(4).

Garcia-Larrea L, Convers P, Magnin M. Laser-evoked potential abnormalities in central pain patients: The influence of spontaneous and provoked pain. Brain. 2002;125:2766-2781.

Treede RD, Lorenz J, Baumgärtner U. Clinical usefulness of laserevoked potentials. Neurophysiol Clin. 2003;33:303-314.

Lauria G, Cornblath DR, Johansson O. EFNS guidelines on the use of skin biopsy in the diagnosis of peripheral neuropathy. Eur J Neurol. 2005;12:747-758.

Cruccu G, Anand P, Attal N. EFNS guidelines on neuropathic pain assessment. Eur J Neurol. 2004;11:153-162.

Freynhagen R, Baron R, Gockel U. PainDETECT: A new screening questionnaireto detect neuropathic components in patients with back pain. Curr Med Res Opin. 2006;22:911-1920.

Bennett MI. The LANSS Pain Scale: The leeds assessment of neuropathic symptoms and signs. Pain. 2001;92:147-157.

Bouhassira D, Attal N, Alchaar H. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain. 2005;114:29-36.

Scholz J, Mannion RJ, Hord DE. A novel tool for the assessment of pain: validation in low back pain. PLoS Med. 2009;6(4).

Attal N, Fermanian C, Fermanian J. Neuropathic pain: are there distinct subtypes depending on the aetiology or anatomical lesion?. Pain. 2008;138:343-353.

Nicolas G, Maisonobe T, Le Forestier N. Proposed revised criteria for chronic inflammatory demyelinating neuropathy. Muscle Nerve. 2002;25:26-30.

Pascuzzi RM. Peripheral neuropathy. Med Clin N Am. 2009;90:317-342.

Low PA, Caskey PE, Tuck RR. Quantative sudomotor axon reflex test in normal and neuropathic subjects. Ann Neurol. 1983;14:573-580.

Shy ME. Charcot-Marie-Tooth disease: an update. Curr Opin Neurol. 2004;17:579-585.

Plante-Bordeneuve V, Said G. Transthyretin related familial polyneuropathy. Curr Opin Neurol. 2000;13:569-573.

Vallat JM. Biopsie nerveuse: Indications et données techniques. Neuropathies périphériques. 2003:87-90.

Lacomis D. Clinical utility of peripheral nerve biopsy. Curr Neurol Neurosci Rep. 2005;5:41-47.

Bohlega S, Alsaadi T, Amir A. Guidelines for the pharmacological treatment of peripheral neuropathic pain: expert panel recommendations for the middle East region. J Int Med Res. 2010;38:295-317.

Smith HS, Sang CN. The evolving nature of neuropathic pain: Individualizing treatment. Eur J Pain. 2002;6:13-18.

Finnerup NB, Otto M, McQuay HJ. Algorithm for neuropathic pain treatment: An evidence based proposal. Pain. 2005;118:289-305.

O'Connor AB, Dworkin RH. Treatment of neuropathic pain: an overview of recent guidelines. Am J Med. 2009;122:S22-32.

Finnerup NB, Otto M, Jensen TS. An evidence-based algorithm for the treatment of neuropathic pain. Med Gen Med. 2007;9(2).

Pappagallo M. Newer antiepileptic drugs: Possible uses in the treatment of neuropathic pain and migraine. Clin Ther. 2003;25:2506-2538.

Dworkin RH. Introduction: recommendations for the diagnosis, assessment, and treatment of neuropathic pain. Am J Med. 2009;122(10):S1-2.

Jensen TS, Finnerup NB. Neuropathic pain treatment: a further step forward. Lancet. 2009;374(9697):1218-1219.

Jensen TS, Madsen CS, Finnerup NB. Pharmacology and treatment of neuropathic pains. Curr Opin Neurol. 2009;22(5):467-474.

Dworkin RH, O'Connor AB, Backonja M. Review and recommendations: Pharmacologic management of neuropathic pain: Evidence-based recommendations. Pain. 2007;132:237-251.

McQuay HJ, Tramer M, Nye BA. A systematic review of antidepressants in neuropathic pain. Pain. 1996;68:217-227.

Chong MS, Bajwa ZH. Diagnosis and treatment of neuropathic pain. J Pain Symptom Manage. 2003;25:S4-S11.

Rowbotham M, Harden N, Stacey B. Gabapentin for the treatment of postherpetic neuralgia: A randomized controlled trial. JAMA. 1998;280:1837-1842.

Tasker RR. Central pain states. Bonicas management of pains. 2001:433-457.

McQuay HJ, Moore RA. Using numerical results from systematic reviews in clinical practice. Ann Intern Med. 1997;126:712-720.

Dworkin RH, OConnor AB, Audette J. Recomendações para o Tratamento Farmacológico da Dor Neuropática: Visão Global e Atualização da Literatura. Mayo Clin Proc. 2010;85:S3-S14.

Guido M. The use of antidepressants in the treatment of chronic pain. Drugs. 1991;42:730-748.

Bryson HM, Wilde MI. Amitriptyline a review of its pharmacological properties and therapeutic use in chronic pain states. Drugs Aging. 1996;8(6):459-476.

Maizels M, Mccarber B. Atidepressants and antiepileptic drugs for chronic non-cancer pain. Am Fam Physician. 2005;71:483-490.

Ashina S, Bendtsen L, Jensen R. Analgesic effect of amitriptyline in chronic tension-type headache is not directly related to serotonin reuptake inhibition. Pain. 2004;108:108-114.

Ray WA, Meredith S, Thapa PB. Cyclic antidepressants and the risk of sudden cardiac death. Clin Pharmacol Ther. 2004;75:234-241.

Cayley WE. Antidepressants for the treatment of neuropathic pain. Am Fam Phys. 2006;73(11):1933-2011.

Frommer DA, Kulig KW, Marx JA. Tricyclic antidepressant overdose. JAMA. 1987;257:521-526.

Sindrup SH, Otto M, Finnerup NB. Antidepressants in the treatment of neuropathic pain. Basic Clin Pharmacol Toxicol. 2005;96:399-404.

Kalso E. Pharmacological Management of Pain: Anticonvulsants, antidepressants, and adjuvants analgesics. Pain- An Updated Review: Refresher Course Syllabus. 2005:19-29.

Haanpaa ML, Gourlay GK, Kent JL. Considerações para pacientes com dor neuropática e outras morbidades médicas. Mayo Clin Proc. 2010;85(3^ssuppl):S15-S25.

Rice AS, Maton S. Gabapentin in postherpetic neuralgia: a randomised, double blind, placebo controlled study. Pain. 2001;94:215-224.

Attal N, Rouaud J, Brasseur L. Systemic lidocaine in pain due to nerve injury and predictors of response. Neurology. 2004;62:218-225.

Finnerup NB, Sorensen FB, Johannesen IL. Intravenous lidocaine relieves spinal cord injury pain. Anesthesiology. 2005;102:1023-1230.

Rowbotham MC, Davies PS, Verkempinck C. Lidocaine patch: double-blind controlled study of a new treatment method for postherpetic neuralgia. Pain. 1996;65:39-44.

Galer BS, Jensen MP, Ma T. The lidocaína patch 5% effectively treats efficacy study with use of the neuropathic pain scale. Clin J Pain. 2002;18:297-301.

McCleane G. Intravenous infusion of phenytoin relieves neuropathic pain: a randomized, double-blinded, placebo-controlled, crossover study. Anesth Analg. 1999;89:985-988.

LoGrasso P, McKelvy J. Advances in pain therapeutics. Curr Opin Chem Biol. 2003;7:452-456.

5dd6a3b60e88256d2f13f287 rba Articles
Links & Downloads

Braz J Anesthesiol

Share this page
Page Sections