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Psychophysische und Neurophysiologische Messverfahren in der Schmerzmedizin

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Praktische Schmerzmedizin

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Zusammenfassung

Die Funktionsfähigkeit des somatosensorischen Systems wird durch klinische Sensibilitätsprüfung, quantitative sensorische Testung (QST) oder elektrophysiologische Messverfahren geprüft. Dabei geht es um evozierten Schmerz, der vermindert (Hypalgesie) oder gesteigert (Hyperalgesie, Allodynie) sein kann, sowie um veränderten Tastsinn, Propriozeption oder Temperatursinn. Die QST zeichnet sich durch eine stärkere Formalisierung des Untersuchungsablaufs, die Verwendung von kalibrierten Reizstärken und die Standardisierung der Instruktionen für den Patienten aus und liefert reproduzierbare und vom Untersucher unabhängige Befunde. Elektrophysiologische Messverfahren liefern objektive Befunde zur Funktion des somatosensorischen Systems. Mittels Elektroneurogramms (ENG) und somatosensorisch evozierter Potenziale (SEP) werden die dicken myelinisierten Afferenzen und die Hinterstrangbahnen geprüft. Durch Laser-evozierte Potenziale (LEP) werden Veränderungen der Funktion der dünnen nozizeptiven Afferenzen und des spinothalamischen Traktes erfasst.

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Authors and Affiliations

  1. Lehrstuhl für Neurophysiologie, CBTM, Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Deutschland

    Rolf-Detlef Treede

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Correspondence to Rolf-Detlef Treede .

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  1. Klinik für Neurologie, Universitätsklinikum Kiel, Kiel, Germany

    Ralf Baron

  2. Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Hannover, Germany

    Wolfgang Koppert

  3. Göttingen, Germany

    Michael Strumpf

  4. Klinik für Anästhesiologie, Universitätsmedizin Göttingen, Göttingen, Germany

    Anne Willweber-Strumpf

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Treede, RD. (2018). Psychophysische und Neurophysiologische Messverfahren in der Schmerzmedizin. In: Baron, R., Koppert, W., Strumpf, M., Willweber-Strumpf, A. (eds) Praktische Schmerzmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54670-9_9-2

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  • DOI: https://doi.org/10.1007/978-3-642-54670-9_9-2

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  1. Latest

    Psychophysische und Neurophysiologische Messverfahren in der Schmerzmedizin
    Published:
    05 December 2018

    DOI: https://doi.org/10.1007/978-3-642-54670-9_9-2

  2. Original

    Quantitative sensorische Testung (QST)
    Published:
    27 October 2014

    DOI: https://doi.org/10.1007/978-3-642-54670-9_9-1

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