What is a hemisensory symptom

Hemisensory disorders in neuropathic pain in the context of chronic nerve root irritation syndromes

02/01/2005 | Case report | Edition 1/2005

Magazine:
The pain> Issue 1/2005
Authors:
PD Dr. O. Rommel, A. Maercklin, A. Eichbaum, A. Kuprian, G. Jäger

Summary

Question

Modern pathophysiological concepts point to the importance of the central nervous system for the chronicity of pain in neuropathic pain. Taking these concepts into account, what is the significance of the unilateral sensory disorders occasionally encountered in chronic root irritation syndromes?

Results

The typical clinical findings are demonstrated on the basis of 2 case reports. Both patients had persistent neuropathic pain and a unilateral sensory disorder of the entire half of the body ipsilateral to the radicular symptoms. On the entire half of the body, sensations of touch, pain and temperature were perceived less than on the opposite side.

conclusion

Hemisensory disorders in patients with chronic root irritation syndromes can point to a functional disorder of processing of noxious impulses in the nucleus ventralis posterior of the thalamus. They represent a clinical correlate of subcortical neuroplasticity, which may explain the resistance to therapy in severe chronic pain syndromes.

For your success in clinic and practice - the best help in your everyday work as a doctor

With e.Med Interdisciplinary you get access to all CME training courses and specialist journals on SpringerMedizin.de.

*

You can test e.Med Interdisciplinary for 14 days free of charge (no print magazine included). The test expires automatically and informally. It can only be tested once.

Show more product recommendations

e.Dent - the online subscription for dentists

With e.Dent you get access to all dental training courses and our dental and selected medical journals.

e.Med AINS

With e.Med AINS you get access to CME training courses in the AINS subject, the premium content of the AINS journals, including a printed AINS journal of your choice.

e.Med Neurology & Psychiatry

Withe.Med Neurology & Psychiatryyou get access to CME training courses in the specialist areas, the premium content of the associated specialist journals, including a printed journal of your choice.

e.Med Neurology

Withe.Med Neurologyyou get access to CME advanced training courses in the field, the premium content of the neurological journals, including a printed neurology journal of your choice.

The pain

• Scientific basics of pain medicine

• Practice-oriented assistance for the optimal treatment of pain patients

• Official organ of the German Pain Society e.V.

• Current communications from the companies

literature
Rommel O, Gehling M, Dertwinkel R, Witscher K, Zenz M, Malin JP, Jänig W (1999) Hemisensory impairment in patients with complex regional pain syndrome. Pain 80: 95-101 CrossRefPubMed Rommel O, Gehling M, Dertwinkel R, Witscher K, Zenz M, Malin JP, Jänig W (1999) Hemisensory impairment in patients with complex regional pain syndrome. Pain 80: 95-101 CrossRefPubMed
Rommel O, Malin JP, Zenz M, Jänig, W (2001) Quantitative sensory testing, neurophysiological and psychological testing in patients with complex regional pain syndrome and hemisensory deficits. Pain 93: 279-293 CrossRefPubMed Rommel O, Malin JP, Zenz M, Jänig, W (2001) Quantitative sensory testing, neurophysiological and psychological testing in patients with complex regional pain syndrome and hemisensory deficits. Pain 93: 279-293 CrossRefPubMed
About this article
title
Hemisensory disorders in neuropathic pain in the context of chronic nerve root irritation syndromes
Authors:
PD Dr. O. Rommel
A. Maercklin
A. Eichbaum
A. Kuprian
G. Hunter
Publication date
01.02.2005
DOI
https://doi.org/10.1007/s00482-003-0307-x
magazine
The pain organ of the German Pain Society, the Austrian Pain Society and the Swiss Pain Society
Edition 1/2005
Print ISSN: 0932-433X
Electronic ISSN: 1432-2129
  1. The free trial subscription expires automatically and informally after 14 days. This subscription can only be tested once.

  2. You can test e.Med AINS for 14 days free of charge (no print magazine included). The test expires automatically and informally. It can only be tested once.

  3. You can test e.Med Neurology & Psychiatry for 14 days free of charge (no print journal included). The test expires automatically and informally. It can only be tested once.

  4. You can test e.Med Neurologie for 14 days free of charge (no print journal included). The test expires automatically and informally. It can only be tested once.

  5. I would like to test the next 3 issues for free.

    If I like the magazine, I will receive the trial issues after receiving it The pain 6x per year for a total of € 344.00 in Germany (subscription price € 315.00 plus shipping costs € 29.00) or € 362.00 abroad (subscription price € 315.00 plus shipping costs € 47.00).
    This corresponds to a total monthly price of € 28.67 in Germany and € 30.17 abroad.

    If I am not convinced by this magazine, I will inform the reader service no later than 14 days after receiving the 3rd sample issue.

    All prices quoted include German statutory VAT. In EU countries, the respective statutory value added tax applies. This can lead to price deviations for orders from abroad.

    Billing takes place once a year at the beginning of the reference period by invoice.

    The minimum term of this subscription is one year. The subscription is automatically renewed annually for another year if it is not canceled no later than 30 days before the end of the contract period. The termination must be in writing to the reader service. The statutory right to liability for defects applies.
     

    Reader service
    Springer Nature Customer Service Center
    Tiergartenstrasse 15th
    69121 Heidelberg
    Tel. 06221 345-4303 / Fax: 06221 345-4229
    Email: [email protected]
     

New in the AINS department

Newsletter

Order our free newsletter Update AINS and stay well informed - conveniently by email.