CDS836 Neuropathic Pain Conditions Test
with Questions Solved 100% Correct
Types of rhizotomy(3) - Answer Radiofrequency thermocoagluation
Glycerol rhizotomy
Percutaneous microcrompression
Which two surgical techniques have a risk of deafferentation? - Answer Neurolytic
blocks
ablative peripheral neurosurgery
What can you consider for immediate relief of paroxysmal neuralgia? - Answer Consider
a simple local anesthetic nerve block for immediate relief
Evidence of continuous neuropathic pain? (5) - Answer Quality is often dull, yet burning-
type pain
Pain is ongoing and unremitting, yet the intensity can show patterns of fluctuation
Pain is accompanied by other neurologic symptoms (anesthetsia, paresthesia,
hypoesthesia, hyperesthesia)
There is normally no evidence of any tissue (somatic) changes or disease
Pain my be initiated, accentuated, or maintained by sympathetic activity
Metabolic poly neuropathies (5) - Answer Diabetes
Hypothyroidism
Alcoholism
Vitamin deficiencies
,malnutrition
Peripheral mediated pain types? (6) - Answer Entrapment neuropathy
Deafferentation Pain
Neuritic Pain
Dentoalveolar pain
Occlusal dysthesia
Burning mouth disorders
Clinical characteristics of entrapment neuropathy? (3) - Answer Symptoms are felt in the
peripheral distribution of the nerve that is affected (projected pain)
Symptoms may include anesthesia, hypoesthesia, paresthesia, dysesthesia,
hyperesthesia, hyperalgesia, and/or pain (anesthesia dolorosa)
Projected pain may be felt in any tooth
Entrapment neuropathy most commonly occurs? - Answer In the spine
In entrapment neuropathy pain may be initiated by? (2) - Answer demyleination of the
nerve root
pressure on the nervi nervorum which innervates the nerve fiber itself
Entrapment neuropathy precipatating factors? (2) - Answer Tumor, cyst or growth
(images are essential)
Muscle entrapment (ex. buccal nerve entrapment)
What is the definitive treatment of entrapment neuropathey? - Answer Eliminate the
source of entrapment
, If the soruce of pain in entrapment neuropathy is removed, but pain persists, it is likely
related to? - Answer Central neuropathic changes
Types of neuritic pain? (2) - Answer Bells palsy(peripheral neuritis)
Herpes Zoster
Peripheral neuritis clinical characteristics? (4) - Answer Persistent unremitting, burning
quality pain
Felt as projected heterotopic pain in the peripheral distribution of the affected nerve
Hyperesthesia, paresthesia, dysesthesia and/or anesthesia may be present
Motor and autonomic symptoms may also be present
Pathophysiology of peripheral neuritis is assumed to be caused by? - Answer An
inflammatory process along the course of a nerve trunk secondary to traumatic,
bacterial, viral, or toxic causes
Peripheral neuritis precipitating factors? (2) - Answer Associated with local trauma or
inflammation
Usually accentuated by local stimulation of the involved area
In peripheral neurititis ___________________ of the painful peripheral tissue may
reduce some discomfort but does not arrest the ongoing burning pain.
___________________________ to the site of the neuropathy arrests the neuritic pain -
Answer Topical analgesic blocking
Analgesic blocking central
Peripheral neuritis location? (4) - Answer Facial nerve neuritis (7th) (Bells palsy)
with Questions Solved 100% Correct
Types of rhizotomy(3) - Answer Radiofrequency thermocoagluation
Glycerol rhizotomy
Percutaneous microcrompression
Which two surgical techniques have a risk of deafferentation? - Answer Neurolytic
blocks
ablative peripheral neurosurgery
What can you consider for immediate relief of paroxysmal neuralgia? - Answer Consider
a simple local anesthetic nerve block for immediate relief
Evidence of continuous neuropathic pain? (5) - Answer Quality is often dull, yet burning-
type pain
Pain is ongoing and unremitting, yet the intensity can show patterns of fluctuation
Pain is accompanied by other neurologic symptoms (anesthetsia, paresthesia,
hypoesthesia, hyperesthesia)
There is normally no evidence of any tissue (somatic) changes or disease
Pain my be initiated, accentuated, or maintained by sympathetic activity
Metabolic poly neuropathies (5) - Answer Diabetes
Hypothyroidism
Alcoholism
Vitamin deficiencies
,malnutrition
Peripheral mediated pain types? (6) - Answer Entrapment neuropathy
Deafferentation Pain
Neuritic Pain
Dentoalveolar pain
Occlusal dysthesia
Burning mouth disorders
Clinical characteristics of entrapment neuropathy? (3) - Answer Symptoms are felt in the
peripheral distribution of the nerve that is affected (projected pain)
Symptoms may include anesthesia, hypoesthesia, paresthesia, dysesthesia,
hyperesthesia, hyperalgesia, and/or pain (anesthesia dolorosa)
Projected pain may be felt in any tooth
Entrapment neuropathy most commonly occurs? - Answer In the spine
In entrapment neuropathy pain may be initiated by? (2) - Answer demyleination of the
nerve root
pressure on the nervi nervorum which innervates the nerve fiber itself
Entrapment neuropathy precipatating factors? (2) - Answer Tumor, cyst or growth
(images are essential)
Muscle entrapment (ex. buccal nerve entrapment)
What is the definitive treatment of entrapment neuropathey? - Answer Eliminate the
source of entrapment
, If the soruce of pain in entrapment neuropathy is removed, but pain persists, it is likely
related to? - Answer Central neuropathic changes
Types of neuritic pain? (2) - Answer Bells palsy(peripheral neuritis)
Herpes Zoster
Peripheral neuritis clinical characteristics? (4) - Answer Persistent unremitting, burning
quality pain
Felt as projected heterotopic pain in the peripheral distribution of the affected nerve
Hyperesthesia, paresthesia, dysesthesia and/or anesthesia may be present
Motor and autonomic symptoms may also be present
Pathophysiology of peripheral neuritis is assumed to be caused by? - Answer An
inflammatory process along the course of a nerve trunk secondary to traumatic,
bacterial, viral, or toxic causes
Peripheral neuritis precipitating factors? (2) - Answer Associated with local trauma or
inflammation
Usually accentuated by local stimulation of the involved area
In peripheral neurititis ___________________ of the painful peripheral tissue may
reduce some discomfort but does not arrest the ongoing burning pain.
___________________________ to the site of the neuropathy arrests the neuritic pain -
Answer Topical analgesic blocking
Analgesic blocking central
Peripheral neuritis location? (4) - Answer Facial nerve neuritis (7th) (Bells palsy)
