Revista argentina de neurocirugía
versión On-line ISSN 1850-1532
BONILLA, Gonzalo; DI MASI, Gilda; BATTAGLIA, Danilo y SOCOLOVSKY, Mariano. Medición, clasificación y evolución del dolor provocado por las lesiones nerviosas periféricas traumáticas antes y después de la cirugía de reparación nerviosa. Rev. argent. neurocir. [online]. 2009, vol.23, n.1, pp. 49-54. ISSN 1850-1532.
Objective: To describe a simple scale to quantify the neurophatic pain and to apply this scale retrospectively on a series of patients to determine the effects of peripheral nerve surgery on such pain. Matherials and Method: A series of traumatized patients treated between September 2007 and September 2008 by the Hospital de Clinicas´s Team on Peripheral Nerve were analyzed. 90 days after surgery the patients were reevaluated to determine their symptoms. Results: 26 cases with severe pain were included, being 88% males with a mean age of 28. There were 23 brachial plexus traction lesions and 3 sciatic nerve injuries. The mean result of the scale before surgery was 33.8 points, while it was 7.1 afterwards. Each patient ameliorated a mean of 26.7 points, what represents a global improvement of 79% for the whole series. Conclusion: This scale is a simple and reliable method to quantify neuropathic pain in traumatic nerve injuries. Moreover, the utility of peripheral nerve surgery to treat this kind of pain was once again demonstrated.
Palabras clave : Neuropathic Pain; Brachial Plexus Avulsion; Peripheral Nerve Lesion; Pain Scale.