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BOOK REVIEW |
Keywords: pain; neuropathy
| The first 150 words of the full text of this article appear below. |
Despite having a subspeciality interest in peripheral nerve disease, often I am perplexed by patients with neuropathic pain. Yet pain is a leading symptom of neuropathy, and the ability to manage it is essential to the compleat neurologist. So I was delighted to have the opportunity to improve my own understanding of neuropathic pain from this volume edited by Claudia Sommer. Her experience in linking clinical and experimental aspects of pain is a welcome thread running throughout this volume.
We are reminded that so much of our knowledge of neuropathic pain phenomena derives from American Civil War nerve injuries studied so carefully by Weir-Mitchell. Pain pathways are dealt with pragmatically in standard anatomical and physiological terms. Gate control theory is not even listed in the index, allowing simple thought about the self evident modulation of pain transmission and perception. Cytokines receive welcome attention; if tumour necrosis factor is not a
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