Therapeutische Umschau. Revue thérapeutique
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An important part of patients with spinal cord disorder suffers chronic pain. Especially the neuropathic pain syndrome is a problem. The pain lost his function of a protective warning sign, it can reduce the quality of life dramatically. We show the diagnosis and pharmacotherapy in neuropathic pain syndromes in patients with spinal cord disorder.
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Disorders due to spinal cord compression or ischemic spinal cord lesions represent the most relevant nontraumatic spinal cord injuries causing acute para- and tetraplegia. In acute spinal cord compression early diagnosis is most reasonable to indicate early operative intervention with decompression to prevent progressive neurological deficits. ⋯ In chronic spinal cord compression operations are aimed to prevent the development or progression of neurological deficits, as the outcome of rehabilitation is very much dependent to the neurogenic damage. In ischemic spinal cord lesion therapy is restricted to prevent further cadiovascular complications which additionally induce spinal cord dysfunction.