Neuropathic Characteristics In Patients With Persistent Idiopathic Facial Pain
Norihiko Sukenaga,1 Yuka Matsuki,2 Lynn Maeda,3 Takako Nagai,1 Kazuma Hashimoto,1 Yumiko Takao,1 Munetaka Hirose1 1Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, Hyogo, Japan; 2Department of Anesthesiology and Reanimatology, Faculty of Medicine Sciences, University of Fuk...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2019-09-01
|
| Series: | Journal of Pain Research |
| Subjects: | |
| Online Access: | https://www.dovepress.com/neuropathic-characteristics-in-patients-with-persistent-idiopathic-fac-peer-reviewed-article-JPR |
| _version_ | 1819076509351018496 |
|---|---|
| author | Sukenaga N Matsuki Y Maeda L Nagai T Hashimoto K Takao Y Hirose M |
| author_facet | Sukenaga N Matsuki Y Maeda L Nagai T Hashimoto K Takao Y Hirose M |
| author_sort | Sukenaga N |
| collection | DOAJ |
| description | Norihiko Sukenaga,1 Yuka Matsuki,2 Lynn Maeda,3 Takako Nagai,1 Kazuma Hashimoto,1 Yumiko Takao,1 Munetaka Hirose1 1Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, Hyogo, Japan; 2Department of Anesthesiology and Reanimatology, Faculty of Medicine Sciences, University of Fukui, Fukui, Japan; 3Department of Anesthesiology and Pain Management, Nishinomiya Municipal Central Hospital, Hyogo, JapanCorrespondence: Munetaka HiroseDepartment of Anesthesiology and Pain Medicine, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo 663-8501, JapanTel +81-798-45-6392Email mhirose@hyo-med.ac.jpBackground: Persistent idiopathic facial pain (PIFP) is a subtype of painful cranial neuropathies and other facial pains. The involvement of neuropathic mechanisms in PIFP, however, remains controversial. Using the Douleur Neuropathique 4 (DN4) questionnaire, the present study examined neuropathic characteristics in patients with PIFP.Methods: The multi-institutional retrospective study collected the following clinical data from 205 consecutive patients with adult chronic pain: gender, age, BMI, diseases causing chronic pain, disease duration, visual analogue scale score of pain strength, and DN4 score. To compare neuropathic characteristics between PIFP and postherpetic neuralgia (PHN), we selected patients with PIFP (n=19) and patients with PHN (n=33), and performing a case–control study in which each patient with PHN or PIFP was matched by age and gender (n=16 in each group).Results: DN4 score was significantly lower in the PIFP group than in the PHN group before and after matching. The incidence when DN4 was ≥4 was 10.5% before matching and 12.5% after matching in the PIFP group, both of which were significantly lower than those in the PHN group before and after matching (66.7% and 75.0%).Conclusion: Ten percent of the PIFP patients likely show neuropathic pain characteristics.Keywords: DN4, neuropathic pain, orofacial pain |
| first_indexed | 2024-12-21T18:42:26Z |
| format | Article |
| id | doaj.art-dd1b6fbff4b143dda895877fe79504df |
| institution | Directory Open Access Journal |
| issn | 1178-7090 |
| language | English |
| last_indexed | 2024-12-21T18:42:26Z |
| publishDate | 2019-09-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Pain Research |
| spelling | doaj.art-dd1b6fbff4b143dda895877fe79504df2022-12-21T18:53:58ZengDove Medical PressJournal of Pain Research1178-70902019-09-01Volume 122801280548850Neuropathic Characteristics In Patients With Persistent Idiopathic Facial PainSukenaga NMatsuki YMaeda LNagai THashimoto KTakao YHirose MNorihiko Sukenaga,1 Yuka Matsuki,2 Lynn Maeda,3 Takako Nagai,1 Kazuma Hashimoto,1 Yumiko Takao,1 Munetaka Hirose1 1Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, Hyogo, Japan; 2Department of Anesthesiology and Reanimatology, Faculty of Medicine Sciences, University of Fukui, Fukui, Japan; 3Department of Anesthesiology and Pain Management, Nishinomiya Municipal Central Hospital, Hyogo, JapanCorrespondence: Munetaka HiroseDepartment of Anesthesiology and Pain Medicine, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo 663-8501, JapanTel +81-798-45-6392Email mhirose@hyo-med.ac.jpBackground: Persistent idiopathic facial pain (PIFP) is a subtype of painful cranial neuropathies and other facial pains. The involvement of neuropathic mechanisms in PIFP, however, remains controversial. Using the Douleur Neuropathique 4 (DN4) questionnaire, the present study examined neuropathic characteristics in patients with PIFP.Methods: The multi-institutional retrospective study collected the following clinical data from 205 consecutive patients with adult chronic pain: gender, age, BMI, diseases causing chronic pain, disease duration, visual analogue scale score of pain strength, and DN4 score. To compare neuropathic characteristics between PIFP and postherpetic neuralgia (PHN), we selected patients with PIFP (n=19) and patients with PHN (n=33), and performing a case–control study in which each patient with PHN or PIFP was matched by age and gender (n=16 in each group).Results: DN4 score was significantly lower in the PIFP group than in the PHN group before and after matching. The incidence when DN4 was ≥4 was 10.5% before matching and 12.5% after matching in the PIFP group, both of which were significantly lower than those in the PHN group before and after matching (66.7% and 75.0%).Conclusion: Ten percent of the PIFP patients likely show neuropathic pain characteristics.Keywords: DN4, neuropathic pain, orofacial painhttps://www.dovepress.com/neuropathic-characteristics-in-patients-with-persistent-idiopathic-fac-peer-reviewed-article-JPRDN4Neuropathic painOrofacial pain |
| spellingShingle | Sukenaga N Matsuki Y Maeda L Nagai T Hashimoto K Takao Y Hirose M Neuropathic Characteristics In Patients With Persistent Idiopathic Facial Pain Journal of Pain Research DN4 Neuropathic pain Orofacial pain |
| title | Neuropathic Characteristics In Patients With Persistent Idiopathic Facial Pain |
| title_full | Neuropathic Characteristics In Patients With Persistent Idiopathic Facial Pain |
| title_fullStr | Neuropathic Characteristics In Patients With Persistent Idiopathic Facial Pain |
| title_full_unstemmed | Neuropathic Characteristics In Patients With Persistent Idiopathic Facial Pain |
| title_short | Neuropathic Characteristics In Patients With Persistent Idiopathic Facial Pain |
| title_sort | neuropathic characteristics in patients with persistent idiopathic facial pain |
| topic | DN4 Neuropathic pain Orofacial pain |
| url | https://www.dovepress.com/neuropathic-characteristics-in-patients-with-persistent-idiopathic-fac-peer-reviewed-article-JPR |
| work_keys_str_mv | AT sukenagan neuropathiccharacteristicsinpatientswithpersistentidiopathicfacialpain AT matsukiy neuropathiccharacteristicsinpatientswithpersistentidiopathicfacialpain AT maedal neuropathiccharacteristicsinpatientswithpersistentidiopathicfacialpain AT nagait neuropathiccharacteristicsinpatientswithpersistentidiopathicfacialpain AT hashimotok neuropathiccharacteristicsinpatientswithpersistentidiopathicfacialpain AT takaoy neuropathiccharacteristicsinpatientswithpersistentidiopathicfacialpain AT hirosem neuropathiccharacteristicsinpatientswithpersistentidiopathicfacialpain |