PATHOPHYSIOLOGY AND MANAGEMENT OF PHANTOM LIMB PAIN

被引:21
作者
HARWOOD, DD
HANUMANTHU, S
STOUDEMIRE, A
机构
[1] EMORY UNIV HOSP,MED PSYCHIAT UNIT,ATLANTA,GA 30322
[2] EMORY UNIV,SCH MED,ATLANTA,GA 30322
[3] AIR UNIV REG HOSP,DEPT PSYCHIAT,MAXWELL AFB,AL
关键词
D O I
10.1016/0163-8343(92)90035-9
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Phantom pain phenomenon is a poorly understood but relatively common sequela of limb amputation that may result in significant psychological and physical morbidity. In this review, proposed pathoneurophysiological mechanisms for the development of phantom pain are reviewed as well as psychological mechanisms that may be involved. The authors recommend an integrated approach to management of chronic phantom pain that takes into consideration the multiple factors that may contribute to its etiology.
引用
收藏
页码:107 / 118
页数:12
相关论文
共 44 条
[1]   PHANTOM LIMB PAIN IN AMPUTEES DURING THE 1ST 12 MONTHS FOLLOWING LIMB AMPUTATION, AFTER PREOPERATIVE LUMBAR EPIDURAL BLOCKADE [J].
BACH, S ;
NORENG, MF ;
TJELLDEN, NU .
PAIN, 1988, 33 (03) :297-301
[2]  
BELGAN A, 1980, BIOCHEM PHARMACOL, V29, P460
[3]   EMOTIONAL EFFECTS OF LOWER-LIMB AMPUTATION IN AGED [J].
CAPLAN, LM ;
HACKETT, TP .
NEW ENGLAND JOURNAL OF MEDICINE, 1963, 269 (22) :1166-+
[4]  
DUFTON BD, 1990, J CLIN PSYCHIAT, V51, P248
[5]  
FEINMANN C, 1985, PAIN, V28, P1
[6]  
FINSEN V, 1988, J BONE JOINT SURG, V79, P109
[7]  
Frazier S H, 1970, Orthop Clin North Am, V1, P481
[9]   PAIN MANAGEMENT AFTER LOWER-EXTREMITY AMPUTATION [J].
IACONO, RP ;
LINFORD, J ;
SANDYK, R .
NEUROSURGERY, 1987, 20 (03) :496-500
[10]   RELIEF OF PERSISTENT POSTAMPUTATION STUMP AND PHANTOM LIMB PAIN WITH INTRATHECAL FENTANYL [J].
JACOBSON, L ;
CHABAL, C ;
BRODY, MC .
PAIN, 1989, 37 (03) :317-322