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2019 | Schmerzsyndrome | OriginalPaper | Buchkapitel

10. Psychophysische und Neurophysiologische Messverfahren in der Schmerzmedizin

verfasst von : Rolf-Detlef Treede

Erschienen in: Praktische Schmerzmedizin

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Die Funktionsfähigkeit des somatosensorischen Systems wird durch klinische Sensibilitätsprüfung, quantitative sensorische Testung (QST) oder elektrophysiologische Messverfahren geprüft. Dabei geht es um evozierten Schmerz, der vermindert (Hypalgesie) oder gesteigert (Hyperalgesie, Allodynie) sein kann, sowie um veränderten Tastsinn, Propriozeption oder Temperatursinn. Die QST zeichnet sich durch eine stärkere Formalisierung des Untersuchungsablaufs, die Verwendung von kalibrierten Reizstärken und die Standardisierung der Instruktionen für den Patienten aus und liefert reproduzierbare und vom Untersucher unabhängige Befunde. Elektrophysiologische Messverfahren liefern objektive Befunde zur Funktion des somatosensorischen Systems. Mittels Elektroneurogramms (ENG) und somatosensorisch evozierter Potenziale (SEP) werden die dicken myelinisierten Afferenzen und die Hinterstrangbahnen geprüft. Durch Laser-evozierte Potenziale (LEP) werden Veränderungen der Funktion der dünnen nozizeptiven Afferenzen und des spinothalamischen Traktes erfasst.

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Titel: Psychophysische und Neurophysiologische Messverfahren in der Schmerzmedizin
verfasst von: Rolf-Detlef Treede
Verlag: Springer Berlin Heidelberg
Buch: Praktische Schmerzmedizin
Print ISBN: 978-3-662-57486-7

Electronic ISBN: 978-3-662-57487-4

Copyright-Jahr: 2019
DOI: https://doi.org/10.1007/978-3-662-57487-4_9

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10. Psychophysische und Neurophysiologische Messverfahren in der Schmerzmedizin

Zusammenfassung

Neu im Fachgebiet AINS

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Hinter dieser Appendizitis steckte ein Erreger

Ärztliche Empathie hilft gegen Rückenschmerzen

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

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Springer Medizin

Zusammenfassung

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Neu im Fachgebiet AINS

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Hinter dieser Appendizitis steckte ein Erreger

Ärztliche Empathie hilft gegen Rückenschmerzen

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

Update AINS