Clinical application of pain-related evoked potentials

被引:4
|
作者
Hansen, N. [1 ]
Obermann, M. [2 ]
Ueceyler, N. [1 ]
Zeller, D. [1 ]
Mueller, D. [2 ]
Yoon, M. S. [2 ]
Reiners, K. [1 ]
Sommer, C. [1 ]
Katsarava, Z. [2 ]
机构
[1] Univ Klinikum Wurzburg, Neurol Klin, D-97080 Wurzburg, Germany
[2] Univ Klinikum Essen, Neurol Klin, Essen, Germany
来源
SCHMERZ | 2012年 / 26卷 / 01期
关键词
Nerve fibers; Evoked potentials; Headache; Mixed fiber neuropathy; Small fiber neuropathy; A-DELTA FIBERS; LONG-TERM DEPRESSION; ELECTRICAL-STIMULATION; CO2-LASER STIMULATION; CEREBRAL POTENTIALS; CONDUCTION-VELOCITY; DIABETES-MELLITUS; SKIN BIOPSY; HOT PLATES; LASER GUNS;
D O I
10.1007/s00482-011-1117-1
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Pain-related evoked potentials (PREPs) represent a novel method for the evaluation of peripheral and central nociceptive pathways, e.g. in the diagnosis of small fiber neuropathy (SFN) or after therapeutic interventions for headache. Compared to contact heat-evoked and laser-evoked potentials, recording of PREPs is less stressful for the subjects and technically less demanding. The clinical usefulness of PREPs has been described for SFN associated with diabetes, HIV and hepatitis C infections as well as in headache and facial pain disorders. They have also been evaluated after interventional methods, such as direct current stimulation (tDCS). The article reviews and discusses the advantages and pitfalls of this technique in the context of recent clinical studies as compared to other paradigms of peripheral electrical stimulation and delineates perspectives and possible indications.
引用
收藏
页码:8 / +
页数:7
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