Stenager E, Knudsen L, Jensen K
Odense Sygehus, Klinisk neuro-psykiatrisk forskningsenhed.
Ugeskr Laeger. 1992 Apr 20;154(17):1157-60.
Multiple sclerosis (MS) is frequently regarded as a painless condition. A review of the literature reveals that approximately 2/3 of the patients with multiple sclerosis will experience painful syndromes during the course of disease and that these are associated with the disease. Acute syndromes are described: Trigeminal neuralgia, Lhermitte's sign, optic neuritis and tonic seizure. Chronic syndromes: Dysaesthesia, pain in extremities, muscular spasms, low back pain and headache. The frequency, causes and suggestions for treatment are mentioned. A Danish investigation has revealed that only 42% of a representative section of DS patients received adequate treatment for pain. It is thus concluded that optimal treatment of pain in MS patients is necessary.
多发性硬化症(MS)通常被认为是一种无痛性疾病。文献综述显示,约2/3的多发性硬化症患者在病程中会经历疼痛综合征,且这些与该疾病相关。文中描述了急性综合征:三叉神经痛、莱尔米特氏征、视神经炎和强直性发作。慢性综合征包括:感觉异常、肢体疼痛、肌肉痉挛、腰痛和头痛。文中提及了疼痛的发生率、病因及治疗建议。一项丹麦调查显示,在一个具有代表性的多发性硬化症患者群体中,只有42%的患者接受了充分的疼痛治疗。因此得出结论,对多发性硬化症患者的疼痛进行最佳治疗是必要的。