An update on botulinum toxin treatment of painful diabetic neuropathy, post-traumatic painful neuropathy/neuralgia, post-herpetic neuralgia and occipital neuralgia.

IF 2.6 4区 医学 Q2 PHARMACOLOGY & PHARMACY
Bahman Jabbari, Ava Tohidian
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引用次数: 0

Abstract

The literature in botulinum toxin treatment for painful diabetic neuropathy (PDN), post traumatic neuralgia (PTN), postherpetic neuralgia (PHN) and occipital neuralgia (ON) was reviewed up to Oct 1st, 2024. Using the efficacy criteria set forth by the Assessment and Guideline subcommittee of the American Academy of Neurology, the current levels of efficacy for these conditions could be designated as followings: PDN: B (probably effective, two class II study), PTN: A (effective, two class I studies); PHN: A (effective, two class I studies), ON: (undetermined due to lack of blinded investigations). Due to the small number of patients in these studies, proof of efficacy requires conduction of controlled and blinded studies in large cohorts of patients with longer follow ups. Future prospects of botulinum therapy for these pain disorders were discussed along with the advantages of this mode of treatment over the current modes of treatment.

肉毒杆菌毒素治疗疼痛性糖尿病神经病、创伤后疼痛性神经病/神经痛、疱疹后神经痛和枕神经痛的最新进展。
本文综述了截至2024年10月1日,肉毒杆菌毒素治疗疼痛性糖尿病神经痛(PDN)、创伤后神经痛(PTN)、带状疱疹后神经痛(PHN)和枕神经痛(ON)的文献。根据美国神经病学学会评估和指南小组委员会制定的疗效标准,目前对这些疾病的疗效水平可指定如下:PDN: B(可能有效,两项II级研究),PTN: A(有效,两项I级研究);PHN: A(有效,两项I类研究),ON(由于缺乏盲法研究而未确定)。由于这些研究中的患者数量较少,因此证明疗效需要在大量患者中进行对照和盲法研究,随访时间较长。讨论了肉毒杆菌治疗这些疼痛疾病的未来前景以及这种治疗模式相对于当前治疗模式的优势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Toxicon
Toxicon 医学-毒理学
CiteScore
4.80
自引率
10.70%
发文量
358
审稿时长
68 days
期刊介绍: Toxicon has an open access mirror Toxicon: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. An introductory offer Toxicon: X - full waiver of the Open Access fee. Toxicon''s "aims and scope" are to publish: -articles containing the results of original research on problems related to toxins derived from animals, plants and microorganisms -papers on novel findings related to the chemical, pharmacological, toxicological, and immunological properties of natural toxins -molecular biological studies of toxins and other genes from poisonous and venomous organisms that advance understanding of the role or function of toxins -clinical observations on poisoning and envenoming where a new therapeutic principle has been proposed or a decidedly superior clinical result has been obtained. -material on the use of toxins as tools in studying biological processes and material on subjects related to venom and antivenom problems. -articles on the translational application of toxins, for example as drugs and insecticides -epidemiological studies on envenoming or poisoning, so long as they highlight a previously unrecognised medical problem or provide insight into the prevention or medical treatment of envenoming or poisoning. Retrospective surveys of hospital records, especially those lacking species identification, will not be considered for publication. Properly designed prospective community-based surveys are strongly encouraged. -articles describing well-known activities of venoms, such as antibacterial, anticancer, and analgesic activities of arachnid venoms, without any attempt to define the mechanism of action or purify the active component, will not be considered for publication in Toxicon. -review articles on problems related to toxinology. To encourage the exchange of ideas, sections of the journal may be devoted to Short Communications, Letters to the Editor and activities of the affiliated societies.
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