Nondermatomal somatosensory deficits: overview of unexplainable negative sensory phenomena in chronic pain patients

Current Opinion in Anaesthesiology
Angela Mailis-Gagnon, Keith Nicholson

Abstract

To review the literature and our current understanding of nondermatomal somatosensory deficits (NDSDs) associated with chronic pain in regards to their prevalence, assessment and clinical presentation, cause and pathophysiology, relationship with conversion disorder and psychological factors, as well as their treatment and prognosis. NDSDs are negative sensory deficits consisting of partial or total loss of sensation to pinprick, light touch or other cutaneous modalities. Although they had been noted more than a century ago and appear prevalent in chronic pain populations, they are poorly studied. They may be very mild or very dense, may occupy large body areas, are often highly dynamic and changeable or, to the contrary, very stable and long lasting. NDSDs may occur in the absence of biomedical pathology or coexist with structural musculoskeletal or nervous system abnormalities. They appear to be associated with psychological factors and a poor prognosis for response to treatment and return to work. Recent brain imaging studies provide a basis for understanding NDSD pathophysiology. NDSDs represent prevalent phenomena associated with chronic pain. Further, research is needed to elucidate their origin, response to treatment, an...Continue Reading

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Citations

Nov 10, 2011·Brain : a Journal of Neurology·David Borsook
Nov 29, 2011·Der Schmerz·N EgloffR von Känel
May 31, 2012·Evidence-based Complementary and Alternative Medicine : ECAM·I-Ju ChenJi-Tseng Fang
Apr 6, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Chin-wern Chan, Philip Peng
Apr 28, 2011·Current Opinion in Supportive and Palliative Care

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