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The prevalence of neuropathic pain after non-traumatic spinal cord lesion
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.
2007 (English)In: Spinal Cord, ISSN 1362-4393, E-ISSN 1476-5624, Vol. 45, no 9, p. 609-615Article in journal (Refereed) Published
Abstract [en]

Study design: Retrospective register study. Objective: To investigate the predictive value of the following parameters for the development of neuropathic pain after non-traumatic spinal cord lesion: that is age at onset of spinal cord disease, gender, completeness of lesion, level of lesion, and aetiology. Setting: A unit for patients with post-acute traumatic and non-traumatic spinal cord lesions in the greater area of Stockholm, Sweden. Method: All patients with non-traumatic spinal cord lesions visiting the unit between 1995 and 2000 were classified according to the following: that is neuropathic pain at or below lesion level according to IASP criteria, age at time of the onset of the spinal cord symptoms, injury level, complete/incomplete injury, and aetiology. Results were analysed with χ 2 - analysis and logistic regression. Results: In total, 38% had neuropathic pain, 15% had pain predominantly at the level of lesion, and 23% predominantly below the level of lesion. Of those with pain, 67% reported that the pain affected daily life. Women reported neuropathic pain below the level of lesion more often (40%) than men (13%). The prevalence was particularly high (64%) for patients with malignant spinal cord diseases. Neither age at onset of the spinal cord symptoms, nor complete/incomplete injury nor injury level had significant influence on the prevalence. Conclusion: Neuropathic pain is common among patients with acquired non-traumatic spinal cord lesions regardless of aetiology, often causing severe problems in daily life.

Place, publisher, year, edition, pages
2007. Vol. 45, no 9, p. 609-615
Keywords [en]
non-traumatic spinal cord lesion, neuralgia, pain, prevalence, rehabilitation
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-17061DOI: 10.1038/sj.sc.3102000ISI: 000249276700005PubMedID: 17160075OAI: oai:DiVA.org:uu-17061DiVA, id: diva2:44832
Available from: 2008-06-16 Created: 2008-06-16 Last updated: 2017-12-08Bibliographically approved

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