SchmerzPub Date : 2024-02-01Epub Date: 2023-11-21DOI: 10.1007/s00482-023-00766-x
Anna Woestemeier, Alexander Semaan, Jörg C Kalff, Philipp Lingohr
{"title":"[Diagnosis and treatment of Dunbar syndrome].","authors":"Anna Woestemeier, Alexander Semaan, Jörg C Kalff, Philipp Lingohr","doi":"10.1007/s00482-023-00766-x","DOIUrl":"10.1007/s00482-023-00766-x","url":null,"abstract":"<p><p>The rare Dunbar syndrome or medial arcuate ligament syndrome (MALS) is defined as compression of the celiac trunk and/or ganglion by the medial arcuate ligament. It is often diagnosed after patients have suffered for a long time and is characterized by intermittent food-related pain, nausea, and unexplained weight loss. After exclusion of other causes of the above symptoms by gastroscopy, colonoscopy, CT, or MRI, the gold standard for diagnosis is dynamic color-coded duplex sonography, which may be supplemented by CT or MR angiography. The treatment of choice is a laparoscopic division of the arcuate ligament at the celiac trunk, although percutaneous transluminal angioplasty (PTA) with stent implantation may be performed in cases of postoperative persistence of symptoms or recurrent stenosis. Since symptoms persist postoperatively in up to 50% of cases, strict indication and complete diagnosis in designated centers are of great importance for successful treatment.</p>","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"6-11"},"PeriodicalIF":1.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138291739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SchmerzPub Date : 2024-02-01DOI: 10.1007/s00482-024-00794-1
{"title":"Mitteilungen der SPS.","authors":"","doi":"10.1007/s00482-024-00794-1","DOIUrl":"10.1007/s00482-024-00794-1","url":null,"abstract":"","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":"38 1","pages":"70-72"},"PeriodicalIF":1.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139672564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SchmerzPub Date : 2024-02-01Epub Date: 2024-01-02DOI: 10.1007/s00482-023-00777-8
Julia Sellin, Jean Tori Pantel, Natalie Börsch, Rupert Conrad, Martin Mücke
{"title":"[Short paths to diagnosis with artificial intelligence: systematic literature review on diagnostic decision support systems].","authors":"Julia Sellin, Jean Tori Pantel, Natalie Börsch, Rupert Conrad, Martin Mücke","doi":"10.1007/s00482-023-00777-8","DOIUrl":"10.1007/s00482-023-00777-8","url":null,"abstract":"<p><strong>Background: </strong>Rare diseases are often recognized late. Their diagnosis is particularly challenging due to the diversity, complexity and heterogeneity of clinical symptoms. Computer-aided diagnostic aids, often referred to as diagnostic decision support systems (DDSS), are promising tools for shortening the time to diagnosis. Despite initial positive evaluations, DDSS are not yet widely used, partly due to a lack of integration with existing clinical or practice information systems.</p><p><strong>Objective: </strong>This article provides an insight into currently existing diagnostic support systems that function without access to electronic patient records and only require information that is easily obtainable.</p><p><strong>Materials and methods: </strong>A systematic literature search identified eight articles on DDSS that can assist in the diagnosis of rare diseases with no need for access to electronic patient records or other information systems in practices and hospitals. The main advantages and disadvantages of the identified rare disease diagnostic support systems were extracted and summarized.</p><p><strong>Results: </strong>Symptom checkers and DDSS based on portrait photos and pain drawings already exist. The degree of maturity of these applications varies.</p><p><strong>Conclusion: </strong>DDSS currently still face a number of challenges, such as concerns about data protection and accuracy, and acceptance and awareness continue to be rather low. On the other hand, there is great potential for faster diagnosis, especially for rare diseases, which are easily overlooked due to their large number and the low awareness of them. The use of DDSS should therefore be carefully considered by doctors on a case-by-case basis.</p>","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"19-27"},"PeriodicalIF":1.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139074975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SchmerzPub Date : 2024-02-01Epub Date: 2024-01-10DOI: 10.1007/s00482-023-00783-w
Fiona Fischer, Maike F Dohrn, Romina Kapfenberger, Denver Igharo, Diana Seeber, Elena de Moya Rubio, Kalliopi Pitarokoili, Natalie Börsch, Martin Mücke, Roman Rolke, Jörg B Schulz, Andrea Maier
{"title":"[Neuropathic pain as a symptom in autonomic neuropathies and other rare diseases : Small fiber neuropathy: its recognition, diagnosis, and treatment].","authors":"Fiona Fischer, Maike F Dohrn, Romina Kapfenberger, Denver Igharo, Diana Seeber, Elena de Moya Rubio, Kalliopi Pitarokoili, Natalie Börsch, Martin Mücke, Roman Rolke, Jörg B Schulz, Andrea Maier","doi":"10.1007/s00482-023-00783-w","DOIUrl":"10.1007/s00482-023-00783-w","url":null,"abstract":"<p><strong>Background: </strong>Neuropathic pain is difficult to diagnose and treat. Small fiber neuropathy (SFN) flies under the radar of nerve conduction studies.</p><p><strong>Objectives: </strong>The importance of a structured patient history and physical examination in the context of neuropathic pain is emphasized. Describing SFN as an important cause, the authors consider rare but partially treatable differential diagnoses. They conclude that autonomic symptoms are frequently associated, often presenting with diverse symptoms.</p><p><strong>Methods: </strong>A selective literature research to present SFN symptoms as well as differential diagnostic and therapeutic steps in the context of SFN and rare diseases focusing on the autonomic nervous system.</p><p><strong>Results: </strong>Neuropathic pain significantly reduces quality of life. To shorten the time until diagnosis and to initiate therapy, the authors recommend a structured patient history including sensory plus and minus symptoms and non-specific autonomic signs. If the initial search for the cause is not successful, rare causes such as treatable transthyretin (ATTR) amyloidosis and Fabry's disease or autoimmune causes should be considered, particularly in the case of progressive and/or autonomic symptoms.</p><p><strong>Conclusion: </strong>The diagnosis and therapy of rare SFN requires interdisciplinary collaboration and, in many cases, a referral to specialized centers to achieve the best patient care.</p>","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"33-40"},"PeriodicalIF":1.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SchmerzPub Date : 2024-02-01DOI: 10.1007/s00482-024-00791-4
{"title":"Mitteilungen der SPS.","authors":"","doi":"10.1007/s00482-024-00791-4","DOIUrl":"10.1007/s00482-024-00791-4","url":null,"abstract":"","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":"38 1","pages":"73-74"},"PeriodicalIF":1.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139672563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SchmerzPub Date : 2024-02-01Epub Date: 2023-12-06DOI: 10.1007/s00482-023-00773-y
T Gabriel, P Klose
{"title":"[Evidence-based CRPS treatment: currently still wishful thinking].","authors":"T Gabriel, P Klose","doi":"10.1007/s00482-023-00773-y","DOIUrl":"10.1007/s00482-023-00773-y","url":null,"abstract":"","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"50-51"},"PeriodicalIF":1.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SchmerzPub Date : 2024-02-01Epub Date: 2024-01-09DOI: 10.1007/s00482-023-00786-7
Melanie Anheyer
{"title":"[Think about child protection also in chronic pain].","authors":"Melanie Anheyer","doi":"10.1007/s00482-023-00786-7","DOIUrl":"10.1007/s00482-023-00786-7","url":null,"abstract":"","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"53"},"PeriodicalIF":1.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SchmerzPub Date : 2024-02-01Epub Date: 2024-01-08DOI: 10.1007/s00482-023-00778-7
Natalie Börsch, Martin Mücke, Andrea Maier, Rupert Conrad, Jean Tori Pantel, Julia Sellin, Kyros Mani, Pradeep Chopra
{"title":"Treating pain in patients with Ehlers-Danlos syndrome : Multidisciplinary management of a multisystemic disease.","authors":"Natalie Börsch, Martin Mücke, Andrea Maier, Rupert Conrad, Jean Tori Pantel, Julia Sellin, Kyros Mani, Pradeep Chopra","doi":"10.1007/s00482-023-00778-7","DOIUrl":"10.1007/s00482-023-00778-7","url":null,"abstract":"<p><strong>Background: </strong>The clinical picture of people with Ehlers-Danlos syndromes (EDS) is complex and involves a variety of potential causes of pain. This poses major challenges to patients and healthcare professionals alike in terms of diagnosis and management of the condition.</p><p><strong>Objectives: </strong>The aim of the article was to provide an overview of the specific pain management needs of patients with EDS and address their background.</p><p><strong>Material and methods: </strong>A selective literature search was performed to highlight the current state of research on pain management in EDS patients.</p><p><strong>Results: </strong>Affected patients require multimodal pain management considering their individual needs, disease-specific features, and comorbidities.</p><p><strong>Conclusion: </strong>Medical awareness and evidence need to be further improved to enhance the medical care situation of these patients with complex needs.</p>","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"12-18"},"PeriodicalIF":1.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}