Abstract
We compared the sensitivity of pain related evoked potentials (PREP), a novel electrophysiological technique, with standard nerve conduction (SNC) testing in the diagnosis of small fiber neuropathy in 47 patients with HIV infection and 31 age matched controls. SNC testing revealed a neuropathy in only 31%, whereas PREP was abnormal in 74% of symptomatic patients. This result hints that PREP is more sensitive in the detection of HIV-associated small fiber neuropathy than standard neurography.
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Agostino R, Cruccu G, Romaniello A, Innocenti P, Inghilleri M, Manfredi M (2000) Dysfunction of small myelinated afferents in diabetic polyneuropathy, as assessed by laser evoked potentials. Clin Neurophysiol 111:270–276
Arendt-Nielsen L, Chen ACN (1999) Evoked potentials to painful laser stimulation. Electroencephalogr Clini Neurophysiol Supplement 50:311–327
Ayzenberg I, Obermann M, Nyhuis P, Gastpar M, Limmroth V, Diener H, Kaube H, Katsarava Z (2006) Central sensitisation of the trigeminal and somatic nociceptive systems in hronic migraine mainly involves cerebral supraspinal structures. Cephalalgia in press
Bromm B, Meier W (1984) The intracutaneous stimulus: a new pain model for algesimetric studies. Methods Find Exp Clin Pharmacol 6:405–410
Bromm B, Treede RD (1987) Human cerebral potentials evoked by CO2 laser stimuli causing pain. Exp Brain Res 67:153–162
Chatrian GE, Canfield RC, Knauss TA (1975) Cerebral responses to electrical tooth pulp stimulation in man. An objective correlate of acute experimental pain. Neurology 25:745–757
Chen ACN, Niddam DM, Arendt-Nielsen L (2001) Contact heat evoked potentials as a valid means to study nociceptive pathways in human subjects. NeurosciLett 316:79–82
Haslbeck M, Redaelli M, Parandeh-Shab F, Luft D, Neundörfer B, Stracke H, Ziegler D (2000) Diagnostik, Therapie und Verlaufskontrolle der sensomotorischen diabetischen Neuropathien. In:German Diabetes Association, pp 30–31
Inui K, Tran TD, Hoshiyama M, Kakigi R (2002) Preferential stimulation of Adelta fibers by intra-epidermal needle electrode in humans. Pain 96:247–252
Kakigi R, Shibasaki H, Ikeda A (1989) Pain-related somatosensory evoked potentials following CO2 laser stimulation in man. Electroencephalogr Clin Neurophysiol 74:139–146
Katsarava Z, Ellrich J, Diener HC, Kaube H (2002) Optimized stimulation and recording parameters of human ‘nociception specific’ blink reflex recordings. Clin Neurophysiol 113:1932–1936
Katsarava Z, Koeppen S, Kavuk I, Mueller D, Sack F, Diener H-C, Limmroth V, Kaube H (2005) A novel technique of electrically evoked pain related potentials for early detection of diabetic small fiber neuropathy. Neurology 64:A345
Katsarava Z, Lehnerdt G, Duda B, Ellrich J, Diener HC, Kaube H (2002) Sensitization of trigeminal nociception specific for migraine but not pain of sinusitis. Neurology 59:1450–1453
Katsarava Z, Sack F, Mueller D, Diener HC, Kaube H (2006) A novel method of eliciting pain related potentials by transcutaneous electrical stimulation. Headache in press
Kaube H, Katsarava Z, Käufer T, Diener H-C, Ellrich J (2000) A new method to increase nociception specificity of the human blink reflex. Clin Neurophysiol 111:413–416
Kaube H, Katsarava Z, Przywara S, Drepper J, Ellrich J, Diener H-C (2002) Acute migraine headache. Possible sensitization of neurons in the spinal trigeminal nucleus? Neurology 58:1–6
Lacomis D (2002) Small-fiber neuropathy. Muscle Nerve 26:173–188
Morgello S, Estanislao L, Simpson D, Geraci A, DiRocco A, Gerits P, Ryan E, Yakoushina T, Khan S, Mahboob R, Naseer M, Dorfman D, Sharp V (2004) HIV-associated distal sensory polyneuropathy in the era of highly active antiretroviral therapy: the Manhattan HIV Brain Bank. Arch Neurol 61:546–551
Parry O, Mielke J, Latif AS, Ray S, Levy LF, Siziya S (1997) Peripheral neuropathy in individuals with HIV infection in Zimbabwe. Acta Neurol Scand 96:218–222
Polydefkis M, Yiannoutsos CT, Cohen BA, Hollander H, Schifitto G, Clifford DB, Simpson DM, Katzenstein D, Shriver S, Hauer P, Brown A, Haidich AB, Moo L, McArthur JC (2002) Reduced intraepidermal nerve fiber density in HIV-associated sensory neuropathy. Neurology 58:115–119
Tagliati M, Grinnell J, Godbold J, Simpson DM (1999) Peripheral nerve function in HIV infection: clinical, electrophysiologic, and laboratory findings. Arch Neurol 56:84–89
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Received in revised form: 28 March 2006
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Katsarava, Z., Yaldizli, Ö., Voulkoudis, C. et al. Pain related potentials by electrical stimulation of skin for detection of small-fiber neuropathy in HIV. J Neurol 253, 1581–1584 (2006). https://doi.org/10.1007/s00415-006-0262-4
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DOI: https://doi.org/10.1007/s00415-006-0262-4