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MULTIDISCIPLINARY PAIN ABSTRACTS: 31
. Neurology (31)
Publication year - 2004
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/j.1530-7085.2004.4007_31.x
Subject(s) - medicine , complex regional pain syndrome , autonomic nervous system , neurology , gold standard (test) , peripheral , physical medicine and rehabilitation , peripheral nervous system , multidisciplinary approach , physical therapy , sensory system , central nervous system , lesion , sympathetic nervous system , anesthesia , neuroscience , pathology , heart rate , psychology , psychiatry , social science , sociology , blood pressure
Complex regional pain syndrome (CRPS) is clinically characterized by sensory, autonomic and motor disturbances. Pathophysiologically there is evidence for functional changes within the central nervous system and for involvement of peripheral inflammatory processes. The sympathetic nervous system plays a key role in maintaining pain and autonomic dysfunction in the affected extremity. After a primary central lesion, secondary peripheral changes in the paretic extremity are suggested to be important in initiating a CRPS. Though there is no diagnostic gold standard, careful clinical evaluation and additional test procedures should lead to an adequate diagnosis. An early diagnosis and an interdisciplinary approach are important for optimal and successful treatment.