[Chronic right-sided pain-associated nondermatomal somatosensory deficit following an accident]

Egloff, Niklaus; Gander, M-L; Gerber, S; von Känel, R; Wiest, R (2010). [Chronic right-sided pain-associated nondermatomal somatosensory deficit following an accident]. Praxis - schweizerische Rundschau für Medizin, 99(13), pp. 797-801. Bern: Huber

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We present the case of a 48-year old man who, eight years after an industrial accident, presents with chronic right-sided nondermatomal pain and hypaesthesia to heat and touch. During symmetric peripheral touch functional magnetic resonance imaging revealed hypometabolism in the left thalamus, somatosensory cortex, and anterior cingulate cortex. Pain-associated nondermatomal somatosensory deficits (NDSDs) localizing to one side of the body are a frequent clinical entity, which are often triggered by an accident. The tendency of NDSDs to extend to adjunct ipsilateral body parts and to become chronic points to maladaptive adjustment of pain-processing areas in the central nervous system. Psychological stress prior to or around the triggering event seems an important risk factor for NDSDs.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology > Centre of Competence for Psychosomatic Medicine
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology

UniBE Contributor:

Egloff, Niklaus; Gander, Marie-Louise; Gerber, Susan Charlotte; von Känel, Roland and Wiest, Roland

ISSN:

1661-8157

Publisher:

Huber

Language:

German

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:10

Last Modified:

06 Dec 2013 13:21

PubMed ID:

20572002

URI:

https://boris.unibe.ch/id/eprint/1475 (FactScience: 203145)

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