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2012, Number 1

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Rev Med MD 2012; 3.4 (1)

Phantom limb syndrome, pain that is real

Treviño‐Alanís MG, Salazar‐Marioni S, Escamilla‐Ocañas CE, Daniel S, Martínez‐Menchaca HR, Rivera‐Silva G

Language: Spanish
References: 20
Page: 32-36
PDF size: 754.73 Kb.


ABSTRACT

When a body part is amputated, most patients experience a feeling resembling the existence of such body part, this sensation being known as phantom limb syndrome. The majority of these patients experience intense, persistent pain, which has become difficult to treat pharmacologically. Mistakenly, this pain has been treated as if it were pain of an existing limb. Currently, brain plasticity and localization methods that improve cortical reorganization and generate a more efficient way of treating phantom pain taking into account the complexity of the nervous system, have been approved. Success has been achieved by using feedback illusion techniques and prevention methods have been developed to avoid the development of phantom limb syndrome.


REFERENCES

  1. Bittar RG, VS, Otero S, Carter H, Aziz TZ. Deep brain stimulation for phantom limb pain. J Clin Neurosci 2005;12:399-404.

  2. Gagné M, Reilly KT, Hétu S, Mercier C. Motor control over the phantom limb in above-elbow amputees and its relationship with phantom limb pain. Neurosci 2009;162:78-86.

  3. Society for vascular surgery, Amputation, NorthPoint 2006. [consultado 11 Jun. 2011]. Disponibleen: http://www.vascularweb.org/_CONTRIBUTION_PAGES/Patient_Infor mation/NorthPoint/Amputation.html, 2006.

  4. Pezzin LE, Dillingham TR, y Mackenzie EJ, Rehabilitation and the long-term outcomes of persons with trauma-related amputations, Archive Physiology Medicine Rehabilitation, 2000; 81: 292-300.

  5. WHO, Mexico, Country Cooperation Strategy at a glance 2006. [consultado 11 Jun. 2011]. Disponible en: http:/www.who.int/countries/mex/en

  6. Karl A, Birmbaumer, Lutzenberg W, et al. Reorganization of motor and somatosensory cortex in upper extremity amputees with phantom limb pain. J Neurosci 2001; 21:3609-18.

  7. Giummarra MJ, Gibson SJ, Georgius-Karistianis N, Bradshaw JL. Central mechanisms in phantom limb perception: The past, present and future. Brain Res Rev 2007;54:219-232.

  8. Lotze M, Flor H, Grodd W, et al. Phantom movements and pain: An fMRI study in upper limb amputees. Brain 2001; 124:2268-2277.

  9. Sumotani M, Yozu A, Tomioka T, Yamada Y, Miyauchi S. Using the intact hand for objective assessmentof phantom hand-perception. Eur J Pain 2010;14:261-265.

  10. 10.Roullet S, Nouette-Gaulian K, Brochet B, Sztark F. Douleur du membre fantome: de la physiopathologie à la prévention. Ann Fran Anesth Réanim 2009;28:939-949.

  11. 11.Hunter JP, Katz J, Davis KD. Stability of phantom limb phenomena after upper limb amputation: A longitudinal study. Neurosci 2008;156:939-949.

  12. 12.Wade NJ. Beyond body experiences: Phantom limbs, pain and the locus of sensation. Cortex 2009;45:243-255.

  13. 13.Sherman RA, Arena JG. Phantom limb pain: mechanisms, incidence and treatment. Clin Rev Physiol Rehabil Med 1992:4;1-26.

  14. 14.Rabah E, Bloqueos terapéuticos en dolor mantenido por el simpático. Boletín el Dolor, Asociación Chilena para el Estudio del Dolor 2004;42:10-16.

  15. 15.Elbert T. Pain from brain: Can we remodel neural circuitry that generates phantom limb pain and other forms of neuropathic pain? Neurosci Lett 2012;507:95-96.

  16. 16.Brodie EE, Whyte A, Niven CA. Analgesia through the looking-glass? A randomized controlled trial investigating the effect of viewing a virtual limb upon phantom limb pain, sensation and movement. Eur J Pain 2007;11:428- 436.

  17. 17.Melzack R. Phantom limbs and the concept of a neuromatrix, Trends Neurosci 1990;13: 88-92.

  18. 18.Antoniello D, Kluger BM, Sahlein DH, Heilman KM. Phantom limb after stroke: An underreported phenomenon. Cortex 2010;46:1114-1122.

  19. 19.Federación Mexicana de la diabetes. Los números de la Diabetes en México 2007. [consultado 1 Sept 2011]. Disponibleen: http://www.fmdiabetes.com/www/diabetes/dnumeros.asp#Mexico

  20. 20.NDEP, Diabetes: A major health problem 2007. [consultado 15 Ago. 2011]. Disponible en: http://ndep.nih.gov/diabetes/WTMD/diabetes.htm




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