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Subtypes of complex regional pain syndrome-a systematic review of the literature.

作者信息

Knudsen Lone, Santoro Lana, Bruehl Stephen, Harden Norman, Brunner Florian

机构信息

National Rehabilitation Center for Neuromuscular Diseases, Aarhus, Denmark.

Wheelock College of Education and Human Development, Boston University, Boston, MA, USA.

出版信息

Pain Rep. 2023 Nov 15;8(6):e1111. doi: 10.1097/PR9.0000000000001111. eCollection 2023 Dec.


DOI:10.1097/PR9.0000000000001111
PMID:38027463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10653603/
Abstract

To systematically identify and summarize possible subtypes of complex regional pain syndrome (CRPS), we searched MEDLINE, Embase, Cochrane, Scopus, and Web of Science for original studies reporting or investigating at least one subtype within a group of patients with CRPS. The search retrieved 4239 potentially relevant references. Twenty-five studies met our inclusion criteria and were included in the analysis. Complex regional pain syndrome phenotypes were investigated based on the following variables: clinical presentation/sensory disturbances, dystonia, skin temperature, disease duration, onset type, CRPS outcome, and neuropsychological test performance. Support was found for the following CRPS subtypes: CRPS type I, CRPS type II, acute CRPS, chronic CRPS, centralized CRPS, cold CRPS, warm CRPS, inflammatory CRPS, dystonic CRPS, nondystonic CRPS, familial CRPS, and nonfamilial CRPS. It is unclear whether these are distinct or overlapping subtypes. The results of this comprehensive review can facilitate the formulation of well-defined CRPS subtypes based on presumed underlying mechanisms. Our findings provide a foundation for establishing and defining clinically meaningful CRPS subtypes, with the ultimate goal of developing targeted and enhanced treatments for CRPS.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c4/10653603/363da3d740fb/painreports-8-e1111-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c4/10653603/363da3d740fb/painreports-8-e1111-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c4/10653603/363da3d740fb/painreports-8-e1111-g001.jpg

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本文引用的文献

[1]
Complex Regional Pain Syndrome: Practical Diagnostic and Treatment Guidelines, 5th Edition.

Pain Med. 2022-6-10

[2]
Preoperative Predictors of Complex Regional Pain Syndrome Outcomes in the 6 Months Following Total Knee Arthroplasty.

J Pain. 2022-10

[3]
Altered basal ganglia infraslow oscillation and resting functional connectivity in complex regional pain syndrome.

J Neurosci Res. 2022-7

[4]
Complex regional pain syndrome what is the outcome? - a systematic review of the course and impact of CRPS at 12 months from symptom onset and beyond.

Eur J Pain. 2022-7

[5]
Cold allodynia is correlated to paroxysmal and evoked mechanical pain in complex regional pain syndrome (CRPS).

Scand J Pain. 2022-7-26

[6]
Motor Cortex Stimulation for Pain: A Narrative Review of Indications, Techniques, and Outcomes.

Neuromodulation. 2022-2

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Graded motor imagery modifies movement pain, cortical excitability and sensorimotor function in complex regional pain syndrome.

Brain Commun. 2021-9-25

[8]
Local and Systemic Expression Pattern of MMP-2 and MMP-9 in Complex Regional Pain Syndrome.

J Pain. 2021-10

[9]
The Valencia consensus-based adaptation of the IASP complex regional pain syndrome diagnostic criteria.

Pain. 2021-9-1

[10]
Preferred reporting items for systematic review and meta-analysis of diagnostic test accuracy studies (PRISMA-DTA): explanation, elaboration, and checklist.

BMJ. 2020-8-14

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