![]() ![]() Submitted comments are subject to editing and editor review prior to posting.Read any comments already posted on the article prior to submission. Submit only on articles published within 6 months of issue date.Objectives: To determine the characteristics of phantom limb sensation, phantom limb pain, and residual limb pain, and to evaluate pain-related disability associated with phantom limb pain. This review explores the potential etiologies of those symptoms, as well as a variety of treatment options that a practitioner may consider when approaching. (Exception: original author replies can include all original authors of the article) Chronic phantom sensations, phantom pain, residual limb pain, and other regional pain after lower limb amputation. Submissions should not have more than 5 authors.Reference 1 must be the article on which you are commenting. ![]() Submissions must be You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid If you are responding to a comment that was written about an article you originally authored: Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment. You must have updated your disclosures within six months: If you are uploading a letter concerning an article: ![]() In patients with GBS, muscle strength at ankle dorsal flexion was reduced by 13.9% ( p = 0.001), sensory thresholds for vibration were increased in the foot ( p < 0.05), and sensory thresholds for cold were increased in the hand and foot ( p < 0.05), whereas autonomic functions and pain thresholds were unaffected.Ĭonclusions: Residual neuropathy affecting large- and medium-sized myelinated fibers endures long after the acute attack of Guillain–Barré syndrome in approximately half of all patients, leads to motor and sensory dysfunction, and shows a trend toward impairing self-reported physical health status. The patients with GBS reported lower health status than control subjects on the SF-36 Physical Component Summary Scale (PCS p = 0.01), and the PCS scores correlated with the NRSS ( r = −0.41, p = 0.009). Most reported and most indicative residual limb pain symptoms, based on the experiences of 106 diagnosed members of the residual limb pain research. Results: Nineteen patients (48%) had residual neuropathy, which was independent of follow-up time. The Dyck minimal criteria of neuropathy, the Neuropathy Symptom Score, the Neuropathy Disability Score, the Short Form-36 (SF-36) generic health questionnaire, isokinetic dynamometry at ankle and wrist, quantitative sensory testing of thresholds for vibration, cold, and pain, autonomic function tests, nerve conduction studies, and a summed Neuropathy Rank Sum Score (NRSS) were applied. Methods: Forty patients (mean age 46 years) with a confirmed diagnosis of GBS were studied a mean of 7 years (range 1 to 13 years) after the acute attack together with 40 healthy control subjects.
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