Author/Editor		Meh, D; Moharič, M; Marinček, Č
Title		Painful neuropathy - small nerve fibre disorder
Type		članek
Source		In: Marinček Č, Burger H, editors. Rehabilitation sciences in the new millenium: challenge for multidisciplinary research. Collection of works presented at the 8th congress of European federation for research in rehabilitation; 2004 Jun 13-17; Ljubljana. Bologna: Medimond, Monduzzi editore, International proceedings division,
Publication year		2004
Volume		str. 185-9
Language		eng
Abstract		Background: Peripheral neuropathy is a common neurological disorder. It may be caused by diseases of the nerves or be the result of systemic illnesses. Objectives: To study disorders of distinct nerve fibres which produce specific symptoms and signs. Methods and subjects: We studied 68 elderly patients, 46 women and 22 men. Detailed clinical neurologic examination and extensive neurophysiological evaluation of the sensory and motor peripheral nervous system was done. Findings: In all patients thermal specific and thermal pain sensitivity at the distal end of the lower extremities were found to be impaired. Quantitative and qualitative changes were evaluated. Conclusion: The mechanisms underlying pain are still undetermined. According to our findings the pain of peripheral nerve origin - as well as some forms of paraesthesias, dysaesthesias and other sensory phenomena - are related to alterations of the unmyelinated and small myelinated nerve fibre, rather than to the myelinated fibre loss.
Descriptors		PERIPHERAL NERVOUS SYSTEM DISEASES PAIN THRESHOLD SENSATION DISORDERS NEURAL CONDUCTION AGED