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논문 기본 정보

자료유형
학술저널
저자정보
Lee, Kyeong-Seok (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) Shim, Jae-Jun (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) Doh, Jae-Won (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) Yoon, Seok-Mann (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) Bae, Hack-Gun (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) Yun, Il-Gyu (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제41권 제1호
발행연도
2007.1
수록면
65 - 68 (4page)

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Objective : A new point of view on the chronic back pain proposed which is, named neuropathic back pain[NBP]. Some proposed a certain pain scale as an useful diagnostic tool. Before scientific verification, some doctors prescribed a new anticonvulsant for the NBP. We investigated diagnostic tools for NBP by a review of the literature. Methods : A comprehensive computer search of the English literature concerning neuropathic low back pain was performed using the key words such as neuropathic back pain and diagnosis in the PubMed. Results : In 1998, the term NBP was first used in a patient with lung cancer. In the English literature, there were two diagnostic methods for the NBP, Neuropathic pain scale[NPS] and a pharmacological test. NPS is a pain questionnaire, which depends on the patients' subjective reports on the given questions, such as 'how hot is your pain feel'. By the pharmacological test, NBP was defined as 50% or more decrease of pain on intravenous lidocaine and on local anesthetic epidurally. It also depends on the patients' subjective response to the therapy. Conclusion : There were still no reliable objective diagnostic criteria for the NBP. It seems to be better to reserve the new anticonvulsants for the NBP till scientific approval.

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