Evolving Understanding of the Classification of Fibromyalgia Following Surgery.
Evolving Understanding of the Classification of Fibromyalgia Following Surgery.
复制标题
对手术后纤维肌痛分类的理解不断发展。
DOI：
10.1093/pm/pnab158
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Woodbury,Anna
中科院分区：
文献类型：
--
作者：
Meka,Arjun;Ji,Dabin;Woodbury,Anna
本病例系列展示了两位在手术后被临床诊断为纤维肌痛的患者。有没有可能我们所知道的纤维肌痛确实是CRPS的一种普遍形式？有证据表明纤维肌痛是由自主神经异常引起的，导致多器官系统受到影响。纤维肌痛被认为是一种交感神经驱动的神经性疼痛综合征，而自主神经功能障碍的表现也可以解释纤维肌痛与疼痛无关的特征。有一个明显的相关性，手术或创伤可引发纤维肌痛的发展，但目前尚不清楚围手术期环境中的生理、手术或麻醉机制可能易导致这种疾病状态。
DiscussionThis case series demonstrates two patients who were clinically diagnosed with fibromyalgia following surgical procedures. Is it possible that what we know as fibromyalgia is indeed a widespread form of CRPS? There is evidence to show that fibromyalgia results from dysautonomia, leading to the multiple organ systems affected. Fibromyalgia is proposed to be a sympathetically driven neuropathic pain syndrome, and the manifestations of autonomic dysfunction may also explain the features of fibromyalgia not related to pain. There is an evident correlation that surgery or trauma can instigate the development of fibromyalgia, but it is unclear at this time what physiologic, surgical, or anesthetic mechanisms in the peri-operative environment may predispose to this disease state.