Neuropathic pain: what do we do with all these theories?

被引:76
作者
Devor, M [1 ]
机构
[1] Hebrew Univ Jerusalem, Inst Life Sci, Dept Cell & Anim Biol, IL-91904 Jerusalem, Israel
关键词
dorsal root ganglia; nerve injury; neuroma; neuropathic pain; pain mechanism;
D O I
10.1034/j.1399-6576.2001.450912.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Only a generation ago there were few ideas as to what might cause neuropathic pain, and even fewer relevant data. Ln contrast, we can currently point to hundreds of distinct cellular changes that are triggered by nerve injury and that might be relevant to the emergence of pain symptomatology. The number may soon increase to thousands. It is essential, therefore, to redirect efforts towards the development of experimental strategies for testing which of these are essential parts of the pain process and which are tangential. In this paper I point out four such strategies: tin-Ling, deletion, prevention and genetic heterogeneity, and summarize how one neuropathic pain theory, the ectopic pacemaker hypothesis, holds up to scrutiny.
引用
收藏
页码:1121 / 1127
页数:7
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