Efficacy of intrathecal baclofen on different pain qualities in complex regional pain syndrome.
Anesth Analg
; 116(1): 211-5, 2013 Jan.
Article
em En
| MEDLINE
| ID: mdl-23223108
ABSTRACT
BACKGROUND:
Complex regional pain syndrome (CRPS) is characterized by severe debilitating chronic pain. Patients with CRPS may experience various pain sensations, which likely embody different pathophysiologic mechanisms. In this study, we evaluated the differential effects of central γ-aminobutyric acid (B) receptor stimulation on the different pain qualities in CRPS patients with dystonia.METHODS:
The 10 pain qualities of the neuropathic pain scale, dystonia severity, and changes in use of antinociceptive drugs were evaluated every 3 months for a period of 1 year in 42 CRPS patients with dystonia receiving titrated doses of intrathecal baclofen (ITB) treatment in an open design.RESULTS:
Using a linear mixed model analysis and controlling for global dystonia severity and the use of supplemental analgesics, we found a significant improvement in global intense pain, sharp pain, dull pain, and deep pain during the first 6 months. After this period, the scores leveled off despite further improvement of dystonia and continued ITB dose escalation.CONCLUSIONS:
γ-Aminobutyric acid (B) receptor stimulation by ITB exerts differential antinociceptive effects on specific pain qualities in CRPS patients with dystonia.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Baclofeno
/
Síndromes da Dor Regional Complexa
/
Agonistas de Receptores de GABA-A
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Relaxantes Musculares Centrais
Tipo de estudo:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Anesth Analg
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Holanda