Extraforaminal Lumbar Disk Herniations Lead To Neuroplastic Changes: a Study Using Quantitative Sensory Testing
العنوان: | Extraforaminal Lumbar Disk Herniations Lead To Neuroplastic Changes: a Study Using Quantitative Sensory Testing |
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المؤلفون: | Valentin Fink, Wolfgang Löscher, Claudius Thomé, Sebastian Hartmann, Sara Lener, Anja Tschugg, Matthias Wildauer, Sabrina Neururer |
المصدر: | Muscle & Nerve. 58:676-680 |
بيانات النشر: | Wiley, 2018. |
سنة النشر: | 2018 |
مصطلحات موضوعية: | 030203 arthritis & rheumatology, Physiology, business.industry, Quantitative sensory testing, Network on, Chronic pain, medicine.disease, 03 medical and health sciences, Cellular and Molecular Neuroscience, 0302 clinical medicine, medicine.anatomical_structure, Lumbar, Dorsal root ganglion, Physiology (medical), Anesthesia, Neuropathic pain, Neuroplasticity, medicine, Neurology (clinical), Lead (electronics), business, 030217 neurology & neurosurgery |
الوصف: | Introduction Extraforaminal lumbar disk herniations are characterized by distinct clinical features in comparison to paramedian lumbar disk herniations. Methods We applied the quantitative sensory testing (QST) protocol of the German Research Network on Neuropathic Pain in 63 patients with a single lumbar disk herniation. They were categorized in 2 groups: (I) an intraspinal (group I; n = 47, 75%) and an extraforaminal (group E; n = 16, 25%). Results The wind-up ratio for assessing endogenous pain-modulating pathways was higher in group E (2.9 ± 2) than in group I (1.4 ± 1; P = 0.021). After a subsequent series of pinprick stimuli, an increase in pain assessed by the numeric rating scale could be shown in group E (2.1 ± 2 vs 1.1 ± 1; P = 0.032). Discussion Extraforaminal compression is associated with chronic as well as neuropathic pain, presumably caused by direct compression of the dorsal root ganglion, which may preferentially promote specific chronic pain mechanisms. Muscle Nerve 58: 676-680, 2018. |
تدمد: | 0148-639X |
الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::2845bc5aebcf35254fa69a94712cebe9Test https://doi.org/10.1002/mus.26184Test |
حقوق: | CLOSED |
رقم الانضمام: | edsair.doi...........2845bc5aebcf35254fa69a94712cebe9 |
قاعدة البيانات: | OpenAIRE |
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