The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Cognitive Assessment in Complex Regional Pain Syndrome Patients

복합부위통증증후군 환자의 인지기능 평가

  • Moon, Jee Youn (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • Kim, Yong Chul (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • Park, Mi Jung (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • Lee, Pyung Bok (Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital) ;
  • Lee, Sang Chul (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • Kang, Do Hyung (Department of Neuropsychiatry, Seoul National University Hospital) ;
  • Shin, Min Sup (Department of Neuropsychiatry, Seoul National University Hospital) ;
  • Kwon, Tae Myung (Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital)
  • 문지연 (서울대학교 의과대학 서울대학교병원 마취통증의학교실) ;
  • 김용철 (서울대학교 의과대학 서울대학교병원 마취통증의학교실) ;
  • 박미정 (서울대학교 의과대학 서울대학교병원 마취통증의학교실) ;
  • 이평복 (분당서울대학교병원 마취통증의학과) ;
  • 이상철 (서울대학교 의과대학 서울대학교병원 마취통증의학교실) ;
  • 강도형 (서울대학교병원 신경정신과) ;
  • 신민섭 (서울대학교병원 신경정신과) ;
  • 권태명 (분당서울대학교병원 마취통증의학과)
  • Received : 2009.01.20
  • Accepted : 2009.01.22
  • Published : 2009.04.01
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Abstract

Background: Complex regional pain syndrome (CRPS) is characterized by severe neuropathic pain and disability, which can result in psychological and behavioral dysfunction. The goal of the present study was to evaluate neurocognitive disability, and to assess the relationship between clinical variables and neuropsychological features in CRPS patients. Methods: We investigated the neuropsychological features of 15 CRPS I patients. The neuropsychological tests that we made comprised of a full intelligence quotient, memory quotient, trail-making test A, trail-making test B (TMT-B), and MMPI (Minnesota multiphasic personality inventory). Results: The results showed severe disability in performance on TMT-B. There was no significant correlation between specific cognitive variables and MMPI scales. Conclusions: Decreased performance on TMT-B which shows mental flexibility in the prefrontal lobe exists independently from depressive disorders in CRPS patients.

Keywords

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