Ból przewlekły współczulnie zależny

Sylwester Mordarski

Summary
Sumpathetically maintained pain (SMP) may be found in association with some painful syndromes. It is taken to be pain that is maintained by sympathetic efferent innerration or by circulating catecholaminus. This is a feature of several types of painful conditions and is not an essential requirement of any one condition. It is understood that pain relived by specific sympatholytic procedure may be considered SMP. This does not imply a mechanism for the pain but simply follows the common clinical observation that in certain cases sympatholytic interventions will lead to a reduction of pain. It is also notable that a patient may have SMP and sympathetically independent pain (SIP) at the same time. SMP may occur in some patients with complex regional pain syndromes (CRPS), but certainly does not occur in all.
The current paper presents modern concepts about pathogenesis and treatment of SMP.

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