Neuropsychological Changes in Complex Regional Pain Syndrome (CRPS)
| Autor: | Axel D. Vittersø, Janet H. Bultitude, Michael J. Proulx, Monika Halicka |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Pain Context (language use) Neurosciences. Biological psychiatry. Neuropsychiatry Review Article 050105 experimental psychology 03 medical and health sciences Cognition 0302 clinical medicine Physical medicine and rehabilitation medicine Humans Attention 0501 psychology and cognitive sciences Pain Measurement Rehabilitation business.industry 05 social sciences Chronic pain Neuropsychology Hemispatial neglect General Medicine Spatial cognition medicine.disease Neuropsychology and Physiological Psychology Complex regional pain syndrome Neurology Chronic Disease Female Neurology (clinical) Nervous System Diseases medicine.symptom business Complex Regional Pain Syndromes 030217 neurology & neurosurgery RC321-571 |
| Zdroj: | Behavioural Neurology, Vol 2020 (2020) Behavioural Neurology |
| ISSN: | 1875-8584 0953-4180 |
| Popis: | Complex Regional Pain Syndrome (CRPS) is a poorly understood chronic pain condition of multifactorial origin. CRPS involves sensory, motor, and autonomic symptoms primarily affecting one extremity. Patients can also present with neuropsychological changes such as reduced attention to the CRPS-affected extremity, reminiscent of hemispatial neglect, yet in the absence of any brain lesions. However, this “neglect-like” framework is not sufficient to characterise the range of higher cognitive functions that can be altered in CRPS. This comprehensive literature review synthesises evidence of neuropsychological changes in CRPS in the context of potential central mechanisms of the disorder. The affected neuropsychological functions constitute three distinct but not independent groups: distorted body representation, deficits in lateralised spatial cognition, and impairment of non-spatially-lateralised higher cognitive functions. We suggest that many of these symptoms appear to be consistent with a broader disruption to parietal function beyond merely what could be considered “neglect-like.” Moreover, the extent of neuropsychological symptoms might be related to the clinical signs of CRPS, and rehabilitation methods that target the neuropsychological changes can improve clinical outcomes in CRPS and other chronic pain conditions. Based on the limitations and gaps in the reviewed literature, we provide several suggestions to improve further research on neuropsychological changes in chronic pain. |
| Databáze: | OpenAIRE |
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