Nyeri neuropatik : pendekatan diagnostic

Neurophatic pain : diagnostic approach Diagnostic approach consisting of a careful history, physical examinitation and special tests. It is possible to clarify the nature of insult to the nervous system. Historycal information provides important clues to diagnosis. Knowledge about the course and the tempo of the disease will narrow diagnostic possibilities. Many neuropathic pain are symptoms of multi system illness. Mc Gill pain questionnaire have been developed to help in this effort. Categorical scales use words to describe the magnitude of the pain. Visual Analogue Scales (VAS). maybe used to assess pain relief or pain intensity. Paediatric Pain Scales (PPS) to draw a picture of pain. Activities of daily living (ADL) scales can be used to assess defisits in functional abilities and to monitor a patient\u27s progress over time. Neuropathic Pain Scale (NPS) has been developed to assess distinct pain qualities associated with neuropathic pain syndromes. The physical examinitation include a complete neurological examination (motor system, somato sensory and autonomic assessment). Electrodiagnostic studies performed to the particular clinical situation. Nerve biopsy has little useful information. Neuropathic pain can be a prominent presenting symptom : trigeminal neuralgia, post herpelic neuralgia, alcoholic neuropathy, phantom limb pain, Fabry\u27s disease, burning feet syndrome, reflexsympathetic dystrophy and diabetic neuropathies. Key words : neuropathic pain- McGill pain questionaire- neuropathic pain scale- paediatric pain scale visual analogue scal