Epstein Mark E
TotalBond Veterinary Hospital, c/o Forestbrook, 3200 Union Road, Gastonia, NC 28056, USA.
Vet Clin North Am Small Anim Pract. 2020 Jul;50(4):789-809. doi: 10.1016/j.cvsm.2020.02.004. Epub 2020 May 5.
Neuropathic pain represents the extreme in maladaptive pain processing. In itself, it is a disease in which pain has become exaggerated in some combination of scope, severity, character, field, duration, and spontaneity. It is almost certainly an underappreciated, underdiagnosed cause of possible significant patient morbidity in cats. This article explores the basic mechanisms, recognition, known and suspect syndromes, and prospective treatment of feline maladaptive and neuropathic pain.
神经性疼痛是适应性疼痛处理的极端情况。其本身就是一种疾病,在范围、严重程度、性质、区域、持续时间和自发性等某些方面,疼痛被过度放大。几乎可以肯定,它是猫可能出现严重患者发病率的一个未得到充分认识、诊断不足的原因。本文探讨了猫适应性不良和神经性疼痛的基本机制、识别、已知和疑似综合征以及前瞻性治疗方法。