Pathophysiology and treatment of neuropathic pain associated with syringomyelia

被引:71
作者
Rusbridge, Clare [1 ]
Jeffery, Nick D. [2 ]
机构
[1] Stone Lion Vet Ctr, London SW19 5AU, England
[2] Univ Cambridge, Dept Vet Med, Cambridge CB3 0ES, England
关键词
neuropathic pain; allodynia; dysaesthesia; spinal cord dorsal horn; Cavalier King Charles Spaniel;
D O I
10.1016/j.tvjl.2006.12.007
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
The pain behaviour expressed by dogs with syringomyelia suggests that they experience neuropathic pain, probably due to disordered neural processing in the damaged dorsal horn. As such it is likely that conventional analgesic medication will be ineffective. In this review, physiological and pathological pain processing through the dorsal horn is summarised and mechanisms by which syringomyelia could result in a persistent pain state are discussed. Finally, current knowledge regarding treatment of Chiari malformation and syringomyelia, is reviewed and possible drugs which may give improved pain relief in affected dogs are discussed. (C) 2007 Elsevier Ltd. All rights reserved.
引用
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页码:164 / 172
页数:9
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