Schadeck-Guillemaud B
Clinique Neurologique, Hôpital de la Salpêtrière, Paris.
Phlebologie. 1992 Jan-Mar;45(1):79-87; discussion 87-8.
A frequent presenting symptom encountered by both neurologists and phlebologists, pain in the lower limbs often results in clinical practice in the suggestion of a neurological disorder. Only pain relating to neurological conditions will be dealt with here. A review of the anatomical pathways of different types of sensation is followed by a semiological review of descriptions of pain and the underlying mechanisms. Mention is then made "from below upwards" of a number of common conditions in which pain is a frequent presenting symptom: firts peripheral: polyneuropathy (alcoholic and diabetic), polyradiculoneuropathy, mononeuropathy, root pain (sciatica, cruralgia), narrow lumbar canal; then central: spinal cord pain, thalamic pain, so-called projected encephalic pain. This merely provides a differential diagnostic approach in relation to phlebological pain of the lower limbs.
下肢疼痛是神经科医生和静脉病医生经常遇到的症状，在临床实践中，这种疼痛常常让人联想到神经系统疾病。这里仅讨论与神经系统疾病相关的疼痛。在回顾不同类型感觉的解剖路径之后，将对疼痛描述及其潜在机制进行症状学回顾。然后“从下往上”提及一些常见病症，在这些病症中疼痛是常见的症状：首先是外周性的：多发性神经病（酒精性和糖尿病性）、多神经根神经病、单神经病、根性疼痛（坐骨神经痛、股痛）、腰椎管狭窄；然后是中枢性的：脊髓疼痛、丘脑疼痛、所谓的投射性脑部疼痛。这只是提供了一种与下肢静脉病性疼痛相关的鉴别诊断方法。
