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http://dx.doi.org/10.3344/kjp.2009.22.1.28

Cognitive Assessment in Complex Regional Pain Syndrome Patients  

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)
Publication Information
The Korean Journal of Pain / v.22, no.1, 2009 , pp. 28-32 More about this Journal
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
chronic pain; cognitive flexibility; complex regional pain syndrome; executive function; trail making test;
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