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Évaluation fonctionnelle des douleurs neuropathiques

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Hatem, Samar [UCL] Plaghki, Léon [UCL] Attal, N.

The assessment of the nervous system in patients with neuropathic pain is particularly challenging. Conventional electrophysiological testing, such as nerve conduction studies and somatosensory-evoked potentials, may prove normal as these techniques only evaluate large fibre function (A beta). In a clinical setting, two evaluation methods may prove useful to examine the nociceptive system or to explore small fibre function (A delta et C). First, quantitative sensory testing, derived from psychophysics, explores different sensory modalities (tactile, thermal and vibratory sensations) corresponding to different types of nerve fibres. Second, CO2 lasers allow for powerful and selective thermal stimuli to evoke brain potentials that are specifically related to the cutaneous activation of A delta and C nociceptors. Finally, other assessments of the nervous system, such as nociceptive reflexes and microneurography, are available for use in a more experimental setting.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2010
Language Français
Journal information "Douleur et Analgesie" - Vol. 23, no. 2, p. 78-84 (2010)
Peer reviewed yes
Publisher Springer (New York)
issn 1011-288X
e-issn 1951-6398
Publication status Publié
Affiliations UCL - Cliniques universitaires Saint-Luc
UCL - SSS/IONS - Institute of NeuroScience
Keywords Neuropathic pain ; Quantitative sensory testing ; Laser-evoked potentials
Links
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Bibliographic reference Hatem, Samar ; Plaghki, Léon ; Attal, N.. Évaluation fonctionnelle des douleurs neuropathiques. In: Douleur et Analgesie, Vol. 23, no. 2, p. 78-84 (2010)
Permanent URL http://hdl.handle.net/2078.1/33740