Neuropathic and Myopathic Pain

The evaluation and management of childhood pain syndromes of neuromuscular origin have distinct challenges, as the patterns of disease presentation and the ability of a child to describe symptoms may differ from that of an adult. Advances in scientific and clinical knowledge are leading to significa...

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Bibliographic Details
Published in:Seminars in pediatric neurology 2016-08, Vol.23 (3), p.242-247
Main Authors: Rodrigues, Anthony C., MD, PhD, Kang, Peter B., MD
Format: Article
Language:English
Subjects:
Humans
Myalgia - diagnosis
Myalgia - genetics
Myalgia - physiopathology
Myalgia - therapy
Neuralgia - diagnosis
Neuralgia - genetics
Neuralgia - physiopathology
Neuralgia - therapy
Neurology
Pediatrics
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Summary:The evaluation and management of childhood pain syndromes of neuromuscular origin have distinct challenges, as the patterns of disease presentation and the ability of a child to describe symptoms may differ from that of an adult. Advances in scientific and clinical knowledge are leading to significant progress in the care of affected children. The genetic origins of Fabry disease and the inherited form of erythromelalgia are better understood. The increasing interest in neuroimmunology among pediatric neurologists has led to more sophisticated diagnostic and therapeutic approaches. Treatment protocols for complex regional pain syndrome have become more standardized. In addition, investigations continue into potential new interventions for metabolic muscle diseases such as McArdle disease and carnitine palmitoyl transferase deficiency type II. In the years to come, children with pain of neuromuscular origin will have access to more precise diagnostic tools and novel therapies that would alleviate this particularly distressing category of disease.
ISSN:1071-9091
1558-0776
DOI:10.1016/j.spen.2016.10.008