Therapeutic Approaches for Peripheral and Central Neuropathic Pain

Neuropathic pain is a chronic secondary pain condition, which is a consequence of peripheral or central nervous (somatosensory) system lesions or diseases. It is a devastating condition, which affects around 7% of the general population. Numerous etiological factors contribute to the development of...

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Main Authors: Délia Szok, János Tajti, Aliz Nyári, László Vécsei
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2019/8685954
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author Délia Szok
János Tajti
Aliz Nyári
László Vécsei
author_facet Délia Szok
János Tajti
Aliz Nyári
László Vécsei
author_sort Délia Szok
collection DOAJ
description Neuropathic pain is a chronic secondary pain condition, which is a consequence of peripheral or central nervous (somatosensory) system lesions or diseases. It is a devastating condition, which affects around 7% of the general population. Numerous etiological factors contribute to the development of chronic neuropathic pain. It can originate from the peripheral part of the nervous system such as in the case of trigeminal or postherpetic neuralgia, peripheral nerve injury, painful polyneuropathies, or radiculopathies. Central chronic neuropathic pain can develop as a result of spinal cord or brain injury, stroke, or multiple sclerosis. As first-line pharmacological treatment options, tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors, and gabapentinoids are recommended. In trigeminal neuralgia, carbamazepine and oxcarbazepine are the first-choice drugs. In drug-refractory cases, interventional, physical, and psychological therapies are available. This review was structured based on a PubMed search of papers published in the field from 2010 until May 2019.
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spelling doaj-art-89fb3c9f3e8b4445870ff04cd6ed6d622025-02-03T05:52:50ZengWileyBehavioural Neurology0953-41801875-85842019-01-01201910.1155/2019/86859548685954Therapeutic Approaches for Peripheral and Central Neuropathic PainDélia Szok0János Tajti1Aliz Nyári2László Vécsei3Department of Neurology, Interdisciplinary Excellence Centre, Faculty of Medicine, University of Szeged, Semmelweis u. 6, H-6725 Szeged, HungaryDepartment of Neurology, Interdisciplinary Excellence Centre, Faculty of Medicine, University of Szeged, Semmelweis u. 6, H-6725 Szeged, HungaryDepartment of Neurology, Interdisciplinary Excellence Centre, Faculty of Medicine, University of Szeged, Semmelweis u. 6, H-6725 Szeged, HungaryDepartment of Neurology, Interdisciplinary Excellence Centre, Faculty of Medicine, University of Szeged, Semmelweis u. 6, H-6725 Szeged, HungaryNeuropathic pain is a chronic secondary pain condition, which is a consequence of peripheral or central nervous (somatosensory) system lesions or diseases. It is a devastating condition, which affects around 7% of the general population. Numerous etiological factors contribute to the development of chronic neuropathic pain. It can originate from the peripheral part of the nervous system such as in the case of trigeminal or postherpetic neuralgia, peripheral nerve injury, painful polyneuropathies, or radiculopathies. Central chronic neuropathic pain can develop as a result of spinal cord or brain injury, stroke, or multiple sclerosis. As first-line pharmacological treatment options, tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors, and gabapentinoids are recommended. In trigeminal neuralgia, carbamazepine and oxcarbazepine are the first-choice drugs. In drug-refractory cases, interventional, physical, and psychological therapies are available. This review was structured based on a PubMed search of papers published in the field from 2010 until May 2019.http://dx.doi.org/10.1155/2019/8685954
spellingShingle Délia Szok
János Tajti
Aliz Nyári
László Vécsei
Therapeutic Approaches for Peripheral and Central Neuropathic Pain
Behavioural Neurology
title Therapeutic Approaches for Peripheral and Central Neuropathic Pain
title_full Therapeutic Approaches for Peripheral and Central Neuropathic Pain
title_fullStr Therapeutic Approaches for Peripheral and Central Neuropathic Pain
title_full_unstemmed Therapeutic Approaches for Peripheral and Central Neuropathic Pain
title_short Therapeutic Approaches for Peripheral and Central Neuropathic Pain
title_sort therapeutic approaches for peripheral and central neuropathic pain
url http://dx.doi.org/10.1155/2019/8685954
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