Emerging subspecialties in neurology: Pain medicine

Department of Anesthesiology, Section of Pain Management, MD Anderson Cancer Center, Houston, TX 77030, USA.
Neurology (Impact Factor: 8.29). 11/2006; 67(8):1522-3. DOI: 10.1212/01.wnl.0000243249.95381.b7
Source: PubMed


Traditionally neurologists have been considered masterful diag- nosticians. Fellow physicians of- ten rely on neurologists to sort out complex historical and exami- nation data in order to arrive at a diagnosis and plan of action. Our specialty is also known for its ex- pertise in the continuing longitu- dinal care of patients with serious illnesses that impact social and occupational function. Several neurologic diseases result in chronic pain, e.g., stroke, multiple sclerosis, and radiculopathy. For these reasons, neurologists are well suited to the practice of pain medicine. One of the first US neurolo-

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Available from: Irfan Lalani, Jan 04, 2015
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    ABSTRACT: Headache attributable to nonvascular intracranial disorder is a basket of multiple, partly complex, and very diverse idiopathic or secondary disorders. By definition, the headache has to occur in a close temporal relationship to the intracranial disorder. Some of these headache disorders are caused by high or low cerebrospinal fluid pressure; noninfectious inflammatory diseases such as neurosarcoidosis, aseptic (noninfectious) meningitis, and lymphocytic hypophysitis; or intracranial neoplasm. Other nonvascular headaches, including hemicrania epileptica and postseizure headache, Chiari malformation type I, and the syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis, are attributed to hypothalamic or pituitary hyper- or hyposecretion, intrathecal injection, or epileptic seizures. The clinical presentation of all these disorders can be diverse and often mimics the characteristics of primary headaches, which may delay the diagnosis.
    Full-text · Article · Apr 2011 · Current Pain and Headache Reports