Abstract

POZO ALONSO, Albia Josefina. Clinical aspects and drug treatment of the neuropathic pain. Rev Cubana Pediatr [online]. 2015, vol.87, n.4, pp. 499-506. ISSN 1561-3119.

Neuropathic pain occurs as direct result of a lesion or a disease affecting the somatosensory system. The neuropathic pain in a child has a number of causes: traumas, complex regional pain syndrome type 1, neurological and neuromuscular diseases, chronic infections, cancer and genetic causes. Its diagnosis may be difficult in children, so the treatment is a challenge posed to physicians who specialized in the field. Tricyclic antidepressive drugs as amitryptiline and imipramine and antiepilepsy drugs are often used in the treatment of neuropathic pain in children. Acetaminophen (paracetamol), non-steroidal anti-inflammatory drugs and tramadol are also used. Every child and adolescent suspected of neuropathic pain should be clinically assessed including exhaustive anamnesis and general, regional physical examination and use of equipment, with special emphasis on the neurological examination. A normal neurological test does not exclude the presence of neuropathic pain.

Keywords : neuropathic pain; treatment of neuropathic pain; children; adolescents; tricyclic antidepressive drugs; anti-epilepsy drugs.

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