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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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PEDIATRIC ANESTHESIA  SMART 2004 - Milan, May 12-14, 2004

Minerva Anestesiologica 2004 May;70(5):393-8

language: English

Neuropathic pain in children

Ingelmo P. M. 1, Fumagalli R. 2

1 Department of Anesthesia and Resuscitation United Hospitals, Bergamo, Italy
2 Unit of Anesthesia and Resuscitation University of Milan-Bicocca, Milan, Italy


The International Association for the Study of Pain (­IASP) ­defines neu­ro­path­ic ­pain as ­being ­caused by a ­lesion or dys­func­tion of the ner­vous ­system. Characteristics ­that ­would ­define neu­ro­path­ic ­pain and dif­fer­en­tiate it ­from oth­er ­types of ­pain ­include: ­pain and sen­so­ry symp­toms ­that per­sist ­beyond the heal­ing peri­od; pres­ence, in var­i­able ­degree, of neu­ro­log­i­cal sen­so­ry ­signs man­i­fest­ing as neg­a­tive and pos­i­tive sen­so­ry phe­nom­e­na; pres­ence, in var­i­able ­degree, of oth­er neu­ro­log­i­cal ­signs, includ­ing ­motor, man­i­fest­ing as neg­a­tive and pos­i­tive ­motor phe­nom­e­na or auto­nom­ic ­signs.
Many of the con­di­tions caus­ing neu­ro­path­ic ­pain in ­adults are ­rare in chil­dren, but ­some ­forms of neu­ro­path­ic ­pain do ­affect chil­dren and ado­les­cents as com­plex region­al ­pain syn­drome or phan­tom ­limb ­pain. Treatment strat­e­gies ­that ­have dem­on­strat­ed to be effi­ca­cious in ­adults ­have ­been extrap­o­lat­ed to be ­used in chil­dren, includ­ing med­i­ca­tions, ­nerve ­blocks, phys­i­cal ther­a­py, and behav­ior­al med­i­cine. A mul­ti­dis­ci­pli­nary pro­gram ­that com­bines all of ­these approach­es pro­vides the ­best ­chance of ­relief.

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