Overview on tools and methods to assess neuropathic trigeminal pain.
Overview on tools and methods to assess neuropathic trigeminal pain.
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发表时间：
2004
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通讯作者：
P. Svensson;L. Baad‐Hansen;T. Thygesen;G. Juhl;T. Jensen
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作者：
P. Svensson;L. Baad‐Hansen;T. Thygesen;G. Juhl;T. Jensen
本文提供了一个简要概述的工具和方法，可能是有用的评估神经性三叉神经痛。疼痛是一个复杂的多维和生物心理社会的经验。虽然神经性三叉神经痛的评估是复杂的，但有几种有意义的方法可用于系统评估神经性疼痛及其影响和表现。这种分析的关键是标准化的疼痛史和检查以及对疼痛机制的良好了解。可以要求患者提供关于其自发性疼痛（即，刺激非依赖性疼痛）的详细信息，例如，质量、强度、定位、时间进程和修正因素。刺激依赖性疼痛成分可以通过临床检查程序和定量心理物理学技术来表征，例如应用机械、热、化学和电刺激。刺激依赖性疼痛的描述对于揭示躯体感觉系统的功能以及映射痛觉过敏、感觉过敏和异常性疼痛的程度是重要的，因为在许多神经性疼痛条件下刺激强度和感知强度之间的正常关系被扭曲。除了心理物理技术，一些实验室测试三叉神经痛的评估已经开发和测试，虽然敏感性，特异性和预测值的关键信息仍然很少。还需要制定关于分类、诊断程序和管理的共同准则。这将需要协调一致的国际跨学科行动。
This article provides a brief overview of the tools and methods that may be useful to assess neuropathic trigeminal pain. Pain is a complex multidimensional and biopsychosocial experience. While the assessment of neuropathic trigeminal pain is complex, there are several meaningful ways available for the systematic assessment of neuropathic pain and its effects and manifestations. The key to such an analysis is a standardized pain history and examination and a good knowledge of pain mechanisms. Patients can be asked to provide detailed information about their spontaneous pain (ie, stimulus-independent pain), eg, quality, intensity, localization, time course, and modifying factors. Stimulus-dependent pain components can be characterized with clinical examination procedures and quantitative psychophysical techniques such as application of mechanical, thermal, chemical, and electrical stimuli. The description of the stimulus-dependent pain is important to reveal the function of the somatosensory system and to map the extent of hyperalgesia, hyperesthesia and allodynia, because the normal relationship between stimulus intensity and perceived intensity is distorted in many neuropathic pain conditions. In addition to the psychophysical techniques, a number of laboratory tests for assessment of trigeminal pain have been developed and tested, although critical information on sensitivity, specificity, and predictive values is still scarce. There is also a need for common guidelines on classification, diagnostic procedures, and management. This will require concerted international, interdisciplinary action.