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Der Schmerz
Erschienen in: Der Schmerz 5/2017

22.09.2017 | Neuropathischer Schmerz | CME

Schmerzen bei Patienten mit Querschnittlähmung

verfasst von: Dr. med. G. Landmann, MSc, E.-C. Chang, W. Dumat, A. Lutz, R. Müller, A. Scheel-Sailer, K. Schwerzmann, N. Sigajew, A. Ljutow

Erschienen in: Der Schmerz | Ausgabe 5/2017

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Zusammenfassung

Chronische Schmerzen bei Patienten mit Querschnittlähmung sind häufig und werden von Patienten als eine der belastendsten Folgen einer Querschnittlähmung angegeben. Es können nozizeptive, neuropathische und andere Schmerzen auftreten. Im biopsychosozialen Krankheitsmodell spielen eine Vielzahl pathophysiologischer Mechanismen in der Schmerzentstehung eine Rolle. Daraus leitet sich ein multimodaler Therapieansatz ab. Die vorliegende Arbeit gibt einen Überblick über Vorkommen, Bedeutung und Pathophysiologie chronischer Schmerzen bei Querschnittlähmung sowie auch über diagnostische und therapeutische Ansätze.
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Metadaten
Titel
Schmerzen bei Patienten mit Querschnittlähmung
verfasst von
Dr. med. G. Landmann, MSc
E.-C. Chang
W. Dumat
A. Lutz
R. Müller
A. Scheel-Sailer
K. Schwerzmann
N. Sigajew
A. Ljutow
Publikationsdatum
22.09.2017
Verlag
Springer Medizin
Erschienen in
Der Schmerz / Ausgabe 5/2017
Print ISSN: 0932-433X
Elektronische ISSN: 1432-2129
DOI
https://doi.org/10.1007/s00482-017-0250-x

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Derzeit wird empfohlen, eine Therapie mit GLP-1-Rezeptoragonisten präoperativ zu unterbrechen. Eine neue Studie nährt jedoch Zweifel an der Notwendigkeit der Maßnahme.

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