Research Topics
| Ralf BaronSummaryAffiliation: University of Kiel Country: Germany Publications
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Publications
Assessment and diagnosis of neuropathic painRalf Baron
Department of Neurological Pain Research and Therapy, Department of Neurology, Christian Albrechts University, Kiel, Germany
Curr Opin Support Palliat Care 2:1-8. 2008..There is now recognition from clinical investigations that neuropathic pain is not a monolithic entity, but instead presents as a composite of pain and other sensory symptoms...
painDETECT: a new screening questionnaire to identify neuropathic components in patients with back painRainer Freynhagen
Klinik fur Anasthesiologie, Universitatsklinikum Dusseldorf, Dusseldorf, Germany
Curr Med Res Opin 22:1911-20. 2006....
A role for peripheral afferents in the pathophysiology and treatment of at-level neuropathic pain in spinal cord injury? A case reportGunnar Wasner
Prince of Wales Medical Research Institute, Gate 1 Barker St, Randwick, Sydney, NSW 2031, Australia
Pain 131:219-25. 2007..Lesioned peripheral afferents in combination with central neuronal hyperexcitability are discussed as a likely underlying pain mechanism...
Novel SCARB2 mutation in action myoclonus-renal failure syndrome and evaluation of SCARB2 mutations in isolated AMRF featuresFranziska Hopfner
Institute of Human Genetics, Helmholtz Zentrum Munchen German Research Center for Environmental Health, Neuherberg, Germany
BMC Neurol 11:134. 2011..To test the hypothesis whether isolated appearance of individual AMRF syndrome features could be related to heterozygote SCARB2 mutations, we screened for SCARB2 mutations in unrelated patients showing isolated AMRF features...
Early diagnosis of peripheral nervous system involvement in Fabry disease and treatment of neuropathic pain: the report of an expert panelAlessandro P Burlina
Neurological Unit, St Bassiano Hospital, Bassano del Grappa, Italy
BMC Neurol 11:61. 2011..Patients with Fabry disease often remain undiagnosed until severe complications involving the kidney, heart, peripheral nerves and/or brain have arisen...
5% lidocaine medicated plaster versus pregabalin in post-herpetic neuralgia and diabetic polyneuropathy: an open-label, non-inferiority two-stage RCT studyRalf Baron
Division of Neurological Pain Research and Therapy, Department of Neurology, Universitatsklinikum Schleswig Holstein, Campus Kiel, Kiel, Germany
Curr Med Res Opin 25:1663-76. 2009..To compare efficacy and safety of 5% lidocaine medicated plaster with pregabalin in patients with post-herpetic neuralgia (PHN) or painful diabetic polyneuropathy (DPN)...
A cross-sectional cohort survey in 2100 patients with painful diabetic neuropathy and postherpetic neuralgia: Differences in demographic data and sensory symptomsRalf Baron
Sektion Neurologische Schmerzforschung und Therapie, Klinik fur Neurologie, Universitatsklinikum Schleswig Holstein, Campus Kiel, Schittenhelmstr 10, 24105 Kiel, Germany
Pain 146:34-40. 2009..Patient-Reported Outcomes can be used to obtain a precise sensory characterization of each patient...
[How neuropathic is sciatica? The mixed pain concept]R Baron
Klinik fur Neurologie, Universitatsklinikum Schleswig Holstein, Campus Kiel
Orthopade 33:568-75. 2004..Therefore, the combination of these analgesic compounds with NSAID could be useful in patients with sciatic pain who do not respond to NSAID...
Post-herpetic neuralgia case study: optimizing pain controlR Baron
Neurological Clinic, Christian Albrechts Universitat zu Kiel, Kiel, Germany
Eur J Neurol 11:3-11. 2004..This review article features a case study of a patient with PHN to illustrate current diagnostic and treatment approaches...
The efficacy and safety of pregabalin in the treatment of neuropathic pain associated with chronic lumbosacral radiculopathyRalf Baron
Division of Neurological Pain Research and Therapy, Department of Neurology, Christian Albrechts University, Kiel, Germany
Pain 150:420-7. 2010..Considering the results of all phases of the study, it is difficult to draw definitive conclusions from it, suggesting a need for further work to understand the clinical potential of pregabalin treatment for lumbosacral radiculopathy...
[Types of topical treatment for peripheral neuropathic pain : Mechanism of action and indications]R Baron
Sektion Neurologische Schmerzforschung und Therapie, Klinik fur Neurologie, Universitätsklinikum Schleswig Holstein Campus Kiel, Haus 41, Arnold Heller Str 3, 24105, Kiel, Deutschland
Schmerz 24:317-25. 2010..Pharmacological interactions with systematically acting substances are also virtually absent; thus, topically applied substances are especially appropriate for add-on therapy in addition to systemic pain medication...
[Complex regional pain syndrome. Sympathetic reflex dystrophy and causalgia]R Baron
Universitätsklinik für Neurologie, Christian Albrects Universität, Kiel
Schmerz 17:213-26. 2003..After reduced spontaneous pain,physiotherapy should be increased stepwise...
Efficacy and safety of combination therapy with 5% lidocaine medicated plaster and pregabalin in post-herpetic neuralgia and diabetic polyneuropathyRalf Baron
Division of Neurological Pain Research and Therapy, Department of Neurology, Universitatsklinikum Schleswig Holstein, Campus Kiel, Kiel, Germany
Curr Med Res Opin 25:1677-87. 2009....
Efficacy and safety of 5% lidocaine (lignocaine) medicated plaster in comparison with pregabalin in patients with postherpetic neuralgia and diabetic polyneuropathy: interim analysis from an open-label, two-stage adaptive, randomized, controlled trialRalf Baron
Division of Neurological Pain Research and Therapy, Department of Neurology, Universitatsklinikum Schleswig Holstein, Campus Kiel, Kiel, Germany
Clin Drug Investig 29:231-41. 2009..This study aimed to compare 5% lidocaine medicated plaster treatment with pregabalin in patients with PHN and patients with DPN...
Complex regional pain syndromes--how do we escape the diagnostic trap?Ralf Baron
Department of Neurological Pain Research and Therapy, Neurological Clinic, , 24105 Kiel, Germany
Lancet 364:1739-41. 2004
Reflex sympathetic dystrophy and causalgiaRalf Baron
, Campus Kiel, , Schittenhelmstrasse 10, D-24105 Kiel, Germany
Suppl Clin Neurophysiol 57:24-38. 2004
[Diagnosis of neuropathic pain]R Baron
Sektion Neurologische Schmerzforschung und Therapie, Klinik fur Neurologie, Universitatsklinikum Schleswig Holstein, Campus Kiel, Kiel
Dtsch Med Wochenschr 132:2139-44. 2007..These medications exert specific molecular pharmacological effects against the pathophysiological mechanisms of neuropathic pain...
Prevention and treatment of postherpetic neuralgiaRalf Baron
Division of Neurological Pain Research and Therapy, Department of Neurology, , 24105 Kiel, Germany
Lancet 367:186-8. 2006
Efficacy and safety of pregabalin in patients with diabetic peripheral neuropathy or postherpetic neuralgia: Open-label, non-comparative, flexible-dose studyRalf Baron
Division of Neurological Pain Research and Therapy, Department of Neurology, University Hospital of Schleswig Holstein, Campus Kiel, Schittenhelmstr 10, D 24105 Kiel, Germany
Eur J Pain 12:850-8. 2008..The PGIC and CGIC and the specific pain and sleep scores, but not the anxiety score were generally well correlated but not synonymous...
Mechanisms of disease: neuropathic pain--a clinical perspectiveRalf Baron
Department of Neurological Pain Research and Therapy, Christian Albrechts Universitat Kiel, Germany
Nat Clin Pract Neurol 2:95-106. 2006..This review discusses the conceptual framework of the novel mechanism-based classification, encouraging the reader to see neuropathic pain as a clinical entity rather than a compilation of single disease states...
Neuropathic pain: diagnosis, pathophysiological mechanisms, and treatmentRalf Baron
Sektion für Neurologische Schmerzforschung und therapie, Klinik fur Neurologie, Universitatsklinikum Schleswig Holstein, Campus Kiel, Kiel, Germany
Lancet Neurol 9:807-19. 2010..A better understanding of neuropathic pain and, in particular, of the translation of pathophysiological mechanisms into sensory signs will lead to a more effective and specific mechanism-based treatment approach...
[Complex regional pain syndrome. Reflex sympathetic dystrophy and causalgia]R Baron
Universitätsklinik für Neurologie, Kiel
Nervenarzt 73:305-18; quiz 319. 2002..After reduced spontaneous pain, physiotherapy should be increased stepwise...
Complex regional pain syndromesR Baron
Klinik fur Neurologie, Christian Albrechts Universitat Kiel, Niemannsweg 147, Kiel 24105, Germany
Curr Pain Headache Rep 5:114-23. 2001..Interdisciplinary treatment includes physical, pharmacologic, and invasive interventional therapy, as well as stimulation techniques...
Relation between sympathetic vasoconstrictor activity and pain and hyperalgesia in complex regional pain syndromes: a case-control studyR Baron
Klinik für Neurologie Christian Albrechts Universität Kiel, Kiel, Germany
Lancet 359:1655-60. 2002..We aimed to establish the effect of physiological sympathetic cutaneous vasoconstrictor activity on pain and hyperalgesia in patients with complex regional pain syndromes...
Afferent large fiber polyneuropathy predicts the development of postherpetic neuralgiaR Baron
Klinik fur Neurologie, Christian Albrechts Universitat zu Kiel, Germany
Pain 73:231-8. 1997..e., impairment of afferent A beta-fiber function, may be used as a predictor of PHN...
Optimal treatment of phantom limb pain in the elderlyR Baron
Klinik fur Neurologie, Christian Albrechts Universitat zu Kiel, Germany
Drugs Aging 12:361-76. 1998..Patients with severe pain should be referred to a pain specialist to ensure optimal and timely interventional pain management...
Brain processing of capsaicin-induced secondary hyperalgesia: a functional MRI studyR Baron
Department of Neurology, University of California at San Francisco, USA
Neurology 53:548-57. 1999..To investigate, using functional MRI (fMRI), the neural network that is activated by the pain component of capsaicin-induced secondary mechanical hyperalgesia...
[Neuropathic pain. The long path from mechanisms to mechanism-based treatment]R Baron
Klinik fur Neurologie, Christian Albrechts Universitat zu Kiel
Anaesthesist 49:373-86. 2000..Drug therapies that are available today include NSAIDS, opioids, tricyclic antidepressants, anticonvulsives (carbamazepine, gabapentin), GABA-agonists, Capsaicin and NMDA-antagonists...
Activation of the somatosensory cortex during Abeta-fiber mediated hyperalgesia. A MSI studyR Baron
Department of Neurology, University of California, San Francisco, USA
Brain Res 871:75-82. 2000..To investigate the neural activation in the primary somatosensory cortex (SI) that is induced by capsaicin-evoked secondary Abeta-fiber-mediated hyperalgesia with magnetic source imaging (MSI) in healthy humans...
Peripheral neuropathic pain: from mechanisms to symptomsR Baron
Klinik fur Neurologie, Christian Albrechts Universitat Kiel, Germany
Clin J Pain 16:S12-20. 2000..The treatment of neuropathic pain is currently unsatisfactory. In the future, drugs will be developed that address specifically the relevant combination of mechanisms...
Effect of local and intravenous lidocaine on ongoing activity in injured afferent nerve fibersIrina Kirillova
Physiologisches Institut, Christian Albrechts Universitat zu Kiel, Kiel, Germany
Pain 152:1562-71. 2011..The results support the hypothesis that decrease of neuropathic pain following local or systemic application of a local anesthetic is related to decrease of ectopic ongoing activity in injured afferent nerve fibers...
Postherpetic neuralgia: topical lidocaine is effective in nociceptor-deprived skinGunnar Wasner
Dept of Neurological Pain Research and Therapy, Neurological Clinic, Universitatsklinikum Schleswig Holstein, Campus Kiel, Schittenhelmstrasse 10, 24105 Kiel, Germany
J Neurol 252:677-86. 2005..The aim of the present investigation was to classify patients according to their predominant peripheral nociceptor function and to compare these data with the results of a controlled study using dermal lidocaine patch...
No adrenergic sensitization of afferent neurons in painful sensory polyneuropathyJörn Schattschneider
Klinik fur Neurologie, Universitatsklinikum Schleswig Holstein, Campus Kiel, Schittenhelmstr 10, 24105 Kiel, Germany
J Neurol 253:280-6. 2006....
Influence of deep brain stimulation and levodopa on sensory signs in Parkinson's diseaseJanne Gierthmühlen
Department of Neurology, Division of Neurological Pain Research and Therapy, Universitatsklinikum Schleswig Holstein, Kiel, Germany
Mov Disord 25:1195-202. 2010....
Fibromyalgia and neuropathic pain--differences and similarities. A comparison of 3057 patients with diabetic painful neuropathy and fibromyalgiaJana Koroschetz
Sektion Neurologische Schmerzforschung und Therapie, Universitatsklinikum Schleswig Holstein, Campus Kiel, Arnold Heller Str, 3, Haus 41, 24105 Kiel, Germany
BMC Neurol 11:55. 2011..The aims were (1) to compare epidemiological features and co-morbidities and (2) to identify similarities and differences of sensory symptoms in both entities...
Modulation of sensitized C-fibers by adrenergic stimulation in human neuropathic painJörn Schattschneider
Sektion für Neurologische Schmerzforschung, Klinik fur Neurologie, Universitatsklinikum Schleswig Holstein, Campus Kiel, Schittenhelmstr 10, 24103 Kiel, Germany
Eur J Pain 12:517-24. 2008..The aim of the present study was to investigate if in patients with nerve entrapment nociceptive afferents can be modulated by adrenergic stimulation...
Detection of a characteristic painful neuropathy in Fabry disease: a pilot studyRainer Maag
Division of Neurological Pain Research and Therapy, Christian Albrechts Universitat Kiel, Kiel, Germany
Pain Med 9:1217-23. 2008..Early detection of this likely underdiagnosed disease is an important approach because a causal therapy is available...
Topical high-concentration (40%) menthol-somatosensory profile of a human surrogate pain modelAndreas Binder
Division of Neurological Pain Research and Therapy, Christian Albrechts Universitat Kiel, Kiel, Germany
J Pain 12:764-73. 2011..The provided long-term data are important for psychophysical and pharmacological research in humans and provide us with insights on experimental cold and mechanical hyperalgesia...
Mechanisms of adrenosensitivity in capsaicin induced hyperalgesiaJörn Schattschneider
Sektion Neurologische Schmerzforschung und Therapie, Klinik für Neurologie des Universitätsklinikums Schleswig Holstein, Campus Kiel, Schittenhelmstr 10, 24103, Kiel, Germany
Eur J Pain 11:756-63. 2007....
A cross-sectional survey of 3035 patients with fibromyalgia: subgroups of patients with typical comorbidities and sensory symptom profilesStefanie E Rehm
Sektion Neurologische Schmerzforschung und Therapie, Klinik fur Neurologie, Christian Albrechts Universitat Kiel, Arnold Heller Strasse 3, Haus 41, 24105 Kiel, Germany
Rheumatology (Oxford) 49:1146-52. 2010..Patients with FM are heterogeneous. They present with a variety of pain qualities, sensory abnormalities and additional comorbidities. The aim was to identify clinically distinguishable subgroups of patients...
Enhancement of ectopic discharge in regenerating A- and C-fibers by inflammatory mediatorsLydia Grossmann
Physiologisches Institut, Christian Albrechts Universitat zu Kiel, 24098 Kiel, Germany
J Neurophysiol 101:2762-74. 2009..The results suggest that inflammatory mediators may be critical to enhance ectopic excitability of regenerating afferent nerve fibers. These peripheral mechanisms may be important triggering and maintaining neuropathic pain...
Cutaneous afferent C-fibers regenerating along the distal nerve stump after crush lesion show two types of cold sensitivityLydia Grossmann
Physiologisches Institut, Christian Albrechts Universitat zu Kiel, Olshausenstrasse 40, 24098 Kiel, Germany
Eur J Pain 13:682-90. 2009..Thus regenerating cutaneous C-fibers show two types of cold sensitivity similar to those observed in intact skin: fibers of one group are predominantly sensitive to cooling, whereas the others are polymodal...
Effect of sympathetic muscle vasoconstrictor activity on capsaicin-induced muscle painGunnar Wasner
, , Niemannsweg 147, 24105 Kiel, Germany
Muscle Nerve 26:113-21. 2002....
Behavioral and sensory changes after direct ischemia-reperfusion injury in ratsJanne Ludwig
Division of Neurological Pain Research and Therapy, Department of Neurology, Universitatsklinikum Schleswig Holstein, Campus Kiel, Schittenhelmstrasse 10, Kiel, Germany
Eur J Pain 11:677-84. 2007..Using Wistar rats, our data do not support the idea that an ischemia-reperfusion injury can play a major role in the development of CRPS...
Pseudoradicular and radicular low-back pain--a disease continuum rather than different entities? Answers from quantitative sensory testingRainer Freynhagen
Department of Anesthesiology, Heinrich Heine University of Dusseldorf, Dusseldorf, Germany
Pain 135:65-74. 2008..The spatial incongruence of pain and sensory loss in pseudoradicular pain, however, may also indicate that the two are not causally related...
Topical menthol--a human model for cold pain by activation and sensitization of C nociceptorsGunnar Wasner
Klinik fur Neurologie, Universitatsklinikum Schleswig Holstein, Niemannsweg 147, D 24105 Kiel, Germany
Brain 127:1159-71. 2004..In conclusion, topical menthol is a human model for cold pain by exposing for the first time the mechanism of sensitized peripheral cold C nociceptors that may also be involved in neuropathic pain...
Idiopathic restless legs syndrome: abnormalities in central somatosensory processingJörn Schattschneider
Dept of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Niemannsweg 147, 24105 Kiel, Germany
J Neurol 251:977-82. 2004....
Assessment of pain and somatosensory function in Fabry disease: early diagnosisRainer Maag
Division of Neurological Pain Research and Therapy, Department of Neurology, University of Kiel, Schittenhelmstrasse 10, Kiel, Germany
Clin Ther 30:S52-3. 2008
Docetaxel-induced nail changes--a neurogenic mechanism: a case reportGunnar Wasner
, , Germany
J Neurooncol 58:167-74. 2002..In accordance with this hypothesis, a cyclooxygenase-2 inhibitor improved nail alterations of the non-paretic limbs...
Topical 5% lidocaine (lignocaine) medicated plaster treatment for post-herpetic neuralgia: results of a double-blind, placebo-controlled, multinational efficacy and safety trialAndreas Binder
Division of Neurological Pain Research and Therapy, Department of Neurology, Universitatsklinikum Schleswig Holstein, Campus Kiel, Kiel, Germany
Clin Drug Investig 29:393-408. 2009..The aim of this study was to evaluate the analgesic efficacy and safety of topical analgesic treatment (5% lidocaine [lignocaine] medicated plaster) compared with placebo plaster in patients with PHN...
Pain in oxaliplatin-induced neuropathy--sensitisation in the peripheral and central nociceptive systemAndreas Binder
Division of Neurological Pain Research and Therapy, Christian Albrechts Universitat Kiel, Schittenhelmstrasse 10, 24105 Kiel, Germany
Eur J Cancer 43:2658-63. 2007..This study aimed to determine the somatosensory characteristics and pain types in patients with acute oxaliplatin-induced neuropathy and to relate this profile to the hereby detected underlying pathophysiological mechanisms...
Mechanistic and clinical aspects of complex regional pain syndrome (CRPS)Ralf Baron
, , Niemannsweg 147, 24105 Kiel, Germany
Novartis Found Symp 261:220-33; discussion 233-8, 256-61. 2004..Transcutaneous electrical stimulation of nociceptive C-fibre provoked protein extravasation into the interstitial fluid (microdialysis) only in CRPS patients and not in controls...
Post-herpetic neuralgia: 5% lidocaine medicated plaster, pregabalin, or a combination of both? A randomized, open, clinical effectiveness studyStefanie Rehm
Universitatsklinikum Schleswig Holstein, Kiel, Germany
Curr Med Res Opin 26:1607-19. 2010..To compare efficacy and safety of 5% lidocaine medicated plaster with pregabalin in patients with post-herpetic neuralgia (PHN), and to assess the benefits of combining both drugs in patients not responding to either single agent...
Effects of subthalamic nucleus stimulation and levodopa on the autonomic nervous system in Parkinson's diseaseJanne Ludwig
Division of Neurological Pain Research and Therapy, University of Kiel, Kiel, Germany
J Neurol Neurosurg Psychiatry 78:742-5. 2007..Since less pharmacotherapy is needed after STN stimulation, reduced levodopa intake results in relative improvement of autonomic function in deep brain stimulated PD patients...
Disease mechanisms in neuropathic itchAndreas Binder
Division of Neurological Pain Research and Therapy, Department of Neurology, Christian Albrechts University of Kiel, Kiel, Germany
Nat Clin Pract Neurol 4:329-37. 2008..Finally, we propose appropriate treatment strategies for neuropathic itch, in view of the fact that this condition has different mechanisms of itch generation to other types of itch and consequently requires different therapies...
Sensory symptom profiles and co-morbidities in painful radiculopathyFriederike Mahn
Sektion Neurologische Schmerzforschung und Therapie, Klinik fur Neurologie, Universitatsklinikum Schleswig Holstein, Campus Kiel, Kiel, Germany
PLoS ONE 6:e18018. 2011..These differences in pathogenesis might explain why medications effective in DPN and PHN failed to demonstrate efficacy in RAD...
Screening of neuropathic pain components in patients with chronic back pain associated with nerve root compression: a prospective observational pilot study (MIPORT)Rainer Freynhagen
Department of Anesthesiology, Heinrich Heine University, Universitatsklinikum Dusseldorf, Germany
Curr Med Res Opin 22:529-37. 2006..We also aimed to assess the usefulness of handheld computers (PDAs) in data collection...
Transient receptor potential channel polymorphisms are associated with the somatosensory function in neuropathic pain patientsAndreas Binder
Division of Neurological Pain Research and Therapy, Department of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Kiel, Germany
PLoS ONE 6:e17387. 2011....
[Stepped analgesic approach to herpes zoster pain]J Ludwig
, , Kiel
MMW Fortschr Med 148:41-3. 2006
A case of neuropathic brachioradial pruritus caused by cervical disc herniationAndreas Binder
Department of Neurological Pain Research and Therapy, Christian Albrechts University of Kiel, Kiel, Germany
Nat Clin Pract Neurol 4:338-42. 2008..No dermatological diseases, trauma to the affected extremity or the spine, or familial pruritus were reported...
Sensory signs in complex regional pain syndrome and peripheral nerve injuryJanne Gierthmühlen
Division of Neurological Pain Research and Therapy, Department of Neurology, Universitatsklinikum Schleswig Holstein, Campus Kiel, Kiel, Germany
Pain 153:765-74. 2012..These sensory profiles should help prioritize approaches for translation between animal and human research...
Mechano- and thermosensitivity of injured muscle afferentsIrina Kirillova
Physiologisches Institut, Christian Albrechts Universitat zu Kiel, Olshausenstrasse 40, 24098 Kiel, Germany
J Neurophysiol 105:2058-73. 2011..Comparing the functional properties of injured muscle A- and C-afferents with those of injured cutaneous A- and C-afferents shows that both populations of injured afferent neurons behave differently in several aspects...
Evaluation of symptom heterogeneity in neuropathic pain using assessments of sensory functionsKathrin Arning
Division of Neurological Pain Research and Therapy, Department of Neurology, Christian Albrechts Universitat Kiel, Germany
Neurotherapeutics 6:738-48. 2009..Second, in clinical practice it becomes possible to establish an individualized therapy--that is, to identify the particular patients who require a specific treatment option...
Axonal thermosensitivity and mechanosensitivity of cutaneous afferent neuronsAlina Teliban
Physiologisches Institut, Christian Albrechts Universitat zu Kiel, Kiel, Germany
Eur J Neurosci 33:110-8. 2011..Mechanosensitivity is restricted to the afferent endings in the skin...
Complex regional pain syndrome is a disease of the central nervous systemWilfrid Jänig
Physiologisches Institut, Christian Albrechts Universitat zu Kiel, Germany
Clin Auton Res 12:150-64. 2002..This changed view will bring about a diagnostic reclassification and redefinition of CRPS and will have bearings on the therapeutic approaches. Finally it will shift the focus of research efforts...
The motor system shows adaptive changes in complex regional pain syndromeChristian Maihofner
Department of Neurology, Institute for Physiology and Experimental Pathophysiology, University of Erlangen Nuremberg, Erlangen, Germany
Brain 130:2671-87. 2007..In summary, the results of this study suggest that substantial adaptive changes within the central nervous system may contribute to motor symptoms in CRPS...
Neuropathic pain: translational research and impact for patient careRainer Maag
Division of Neurological Pain Research and Therapy, Department of Neurology, Christian-Albrechts-University Kiel, Schittenhelmstr. 10, 24105 Kiel, Germany
Curr Pain Headache Rep 10:191-8. 2006....
Complex regional pain syndrome type I: neuropathic or not?Dennis Naleschinski
Division of Neurological Pain Research and Therapy, Department of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Arnold Heller Str 3, Haus 41, 24105, Kiel, Germany
Curr Pain Headache Rep 14:196-202. 2010..We analyzed the strength of the scientific evidence that supports the neuropathic nature of complex regional pain syndromes...
Complex regional pain syndrome: mystery explained?Wilfrid Jänig
Department of Physiology, Christian Albrechts University of Kiel, Kiel, Germany
Lancet Neurol 2:687-97. 2003..The most important question for future research is what causes CRPS? In this article, we suggest a change to the focus of research efforts and treatment. We also suggest there be diagnostic reclassification and redefinition of CRPS...
Harlequin syndrome--one face of many etiologiesGunnar Wasner
Prince of Wales Medical Research Institute, University of New South Wales, Randwick, Sydney, NSW, Australia
Nat Clin Pract Neurol 1:54-9. 2005..8 x 1.2 x 1.2 cm (volume 1.1 ml) had been discovered 2 years previously, within the left lobe of an otherwise uncomplicated goiter that had been successfully managed for 20 years. Otherwise, the patient was healthy...
Role of sympathetic nervous system in activity-induced cerebral perfusionJanne Gierthmühlen
Division of Neurological Pain Research and Therapy, Department of Neurology, University Hospital of Schleswig Holstein, Campus Kiel, Arnold Heller Strasse 3, Haus 41, Kiel, Germany
J Neurol 257:1798-805. 2010....
Platelet-leukocyte interaction and platelet activation in migraine: a link to ischemic stroke?J A Zeller
Department of Neurology, Christian Albrechts University Kiel, Kiel, Germany
J Neurol Neurosurg Psychiatry 75:984-7. 2004..We aimed to determine whether platelet-leukocyte aggregation is increased in migraine patients outside an acute attack...
Interaction between histamine-induced itch and experimental muscle painG Wasner
Klinik fur Neurologie, Christian Albrechts Universitat Kiel, Kiel, Germany
Eur J Pain 8:179-85. 2004..A bi-directional interaction between cutaneous histamine-sensitive afferents and nociceptive muscle afferents via central mechanisms is suggested...
[Pain prevention allows patients with chronic pruritis to itch from central sensitivity for itching]G Wasner
, , Campus Kiel
Schmerz 19:324-7. 2005
Somatosensory function in asymptomatic Parkin-mutation carriersJ Gierthmühlen
Division of Neurological Pain Research and Therapy, Department of Neurology, University of Kiel, Kiel, Germany
Eur J Neurol 17:513-7. 2010..The aim of our study was to investigate asymptomatic Parkin-mutation carriers to elucidate whether putative somatosensory abnormalities precede motor symptoms therewith helping to determine the origin of somatosensory signs...
[Recent trends in understanding and therapy of complex regional pain syndromes]G Wasner
Klinik fur Neurologie, Universitatsklinikum Kiel
Anaesthesist 52:883-95. 2003..An early and interdisciplinary approach is the basis for an optimal and successful treatment...
Histamine-induced itch converts into pain in neuropathic hyperalgesiaR Baron
, , Niemannsweg 147, Kiel, Germany
Neuroreport 12:3475-8. 2001..In neuropathies irritable nociceptors may express histamine receptors or induce central sensitization to histaminergic stimuli so that itch converts into pain...
[The symptom sympathetic maintained pain]J Schattschneider
Klinik fur Neurologie, Universitatsklinikum Schleswig Holstein, Campus Kiel
Schmerz 17:317-24. 2003....
The pathophysiology of parkinsonian tremor: a reviewG Deuschl
Department of Neurology, Christian Albrechts Universitat Kiel
J Neurol 247:V33-48. 2000..Assuming the oscillator within the basal ganglia pathway, the mechanism of stereotactic surgery might be a desynchronization of the activity of the basal ganglia-thalamo-cortical or the cerebello-thalamo-cortical pathway...
Vascular abnormalities in reflex sympathetic dystrophy (CRPS I): mechanisms and diagnostic valueG Wasner
, , Kiel, Niemannsweg 147, 24105 Kiel, Germany
Brain 124:587-99. 2001..Vascular abnormalities are dynamic. The maximal skin temperature difference that occurs during the thermoregulatory cycle distinguishes CRPS I from other extremity pain syndromes with high sensitivity and specificity...
Complex regional pain syndrome--diagnostic, mechanisms, CNS involvement and therapyG Wasner
, , 24105 Kiel, Germany
Spinal Cord 41:61-75. 2003..An early diagnosis and an interdisciplinary approach are important for optimal and successful treatment...
Endothelial dysfunction in cold type complex regional pain syndromeJ Schattschneider
Division of Neurological Pain Research and Therapy, Department of Neurology, University Hospital of Schleswig Holstein, Campus Kiel, Kiel, Germany
Neurology 67:673-5. 2006..No significant differences were found after application of sodium nitroprusside. The results demonstrate impaired endothelial function in chronic CRPS I...
Somatosensory processing in a German family with PINK1 mutations: its potential role in Parkinson diseaseJ Gierthmühlen
Universitatsklinikum Schleswig Holstein, Campus Kiel, Department of Neurology, Division of Neurological Pain Research and Therapy, Kiel, Germany
J Neurol Neurosurg Psychiatry 80:571-4. 2009..It is unclear whether sensory symptoms in Parkinson disease (PD) are of primary or of secondary origin attributable to motor symptoms such as rigidity and bradykinesia...
Platelet activation and platelet-leucocyte interaction in patients with migraine. Subtype differences and influence of triptansJ A Zeller
Department of Neurology, Christian Albrechts University Kiel, Kiel, Germany
Cephalalgia 25:536-41. 2005..This mechanism may account for the triptan-induced increases in headache frequency. The involvement of proinflammatory platelet-leucocyte cross-talk suggests a possible therapeutic strategy using anti-inflammatory drugs...
[Neuropathic pain]J Ludwig
Sektion Neurologische Schmerzforschung und Therapie, Klinik fur Neurologie, Universitatsklinikum Schleswig Holstein, Campus Kiel, Schittenhelmstr 10, D 24105 Kiel
MMW Fortschr Med 147:76-8. 2005..Arises after an injury to nociceptive systems. Examples of the most common causes are polyneuropathies, acute zoster neuralgia, and postherpetic neuralgia. The differential diagnosis and management are discussed...
Cytokine expression in serum and cerebrospinal fluid in non-inflammatory polyneuropathiesJ Ludwig
Division of Neurological Pain Research and Therapy, Department of Neurology, Universitatsklinikum Schleswig Holstein, Campus Kiel, Kiel, Germany
J Neurol Neurosurg Psychiatry 79:1268-73. 2008..Pro-inflammatory cytokines have been shown to induce or increase inflammatory or neuropathic pain...
Skin temperature side differences--a diagnostic tool for CRPS?Gunnar Wasner
, , Niemannsweg 147, 24105 Kiel, Germany
Pain 98:19-26. 2002..Taking this into consideration, skin temperature differences in the distal limbs are capable of reliably distinguishing CRPS I from other extremity pain syndromes with high sensitivity and specificity...
Postganglionic cholinergic dysautonomia with incomplete recovery: a clinical, neurophysiological and immunological case studyR Baron
, , Germany
J Neurol 243:18-24. 1996..Whatever autoimmunological mechanism might be involved, the postulated antibodies act highly specifically on unknown structures of the cholinergic postganglionic autonomic neurons...
National Institutes of Health Workshop: reflex sympathetic dystrophy/complex regional pain syndromes--state-of-the-scienceRalf Baron
Department of Neurology, University of Kiel, Germany
Anesth Analg 95:1812-6. 2002
Complex regional pain syndrome-a multifaceted disorder requiring multidimensional care: case studyMila Mogilevsky
Northwestern University, Rehabilitation Institute of Chicago, Chicago, IL, USA
J Pain 8:677-81. 2007
Prolonged maintenance of capsaicin-induced hyperalgesia by brief daily vibration stimuliHee Kee Kim
Department of Neuroscience and Cell Biology, University of Texas Medical Branch, Galveston, TX 77555 1069, USA
Pain 129:93-101. 2007....
Postherpetic neuralgia: epidemiology, pathophysiology and managementRobert W Johnson
Bristol Royal Infirmary, University of Bristol, Bristol, UK
Expert Rev Neurother 7:1581-95. 2007..A zoster vaccine for administration to adults reduces the incidence of HZ and PHN, as well as the burden of illness associated with these conditions...
How to detect a sensory abnormalityRolf-Detlef Treede
Eur J Pain 12:395-6. 2008
[Preventing a chronic course. Defending against onset]Ralf Baron
MMW Fortschr Med 149:57. 2007
The effect of menthol on cold allodynia in patients with neuropathic painGunnar Wasner
Prince of Wales Medical Research Institute, Sydney, New South Wales, Australia
Pain Med 9:354-8. 2008..We investigated the effects of menthol on preexisting cold allodynia in patients to test whether the allodynia was exacerbated...
Translation of symptoms and signs into mechanisms in neuropathic painTroels S Jensen
Department of Neurology, Aarhus University, DK 8000 Aarhus C, Denmark
Pain 102:1-8. 2003
[Pregabalin--clinical evidence and experiences]Ralf Baron
Krankenpfl J 43:204-5. 2005
Efficacy of lidocaine patch 5% in the treatment of focal peripheral neuropathic pain syndromes: a randomized, double-blind, placebo-controlled studyTorsten Meier
Department of Anesthesiology, University of Luebeck, Ratzeburger Allee 160, 23538 Luebeck, Germany
Pain 106:151-8. 2003..4 in the present study compared reasonably well with other studies of PHN, such as topically applied capsaicin (NNT: 5.3-infinity) or systemic treatment with gabapentin (NNT: 3.2-5.0)...
Peripheral burning cold painGunnar Wasner
Pain 120:325; discussion 325-6. 2006
