Journal of basic and clinical physiology and pharmacology
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J Basic Clin Physiol Pharmacol · Jan 1991
ReviewChronic pain in the aged: possible relation between neurogenesis, involution and pathophysiology in adult sensory ganglia.
Certain neuropathic pain states, including postherpetic neuralgia and trigeminal neuralgia, show a dramatically increased incidence in the aged. Two recent experimental observations, unrelated a priori, might provide insight into why this is so. The first observation appeared unexpectedly during the course of a quantitative morphometric study aimed at determining the kinetics of retrograde cell death in dorsal root ganglia (DRGs) of adult male rats after nerve injury. ⋯ It is likely that these post-injury changes in DRG electrogenesis contribute to the neuropathic sensory abnormalities, including chronic pain, that are associated with traumatic nerve injury. Considering both observations together, it is possible that DRG involution in the aged triggers electrical changes in the DRG resembling those associated with DRG involution following nerve injury. If so, this process could account for the special susceptibility of elderly patients to certain neuropathic pain states.