Evidence map›Paper›PMID 26220898›Full record

ReviewExperimental neurology2016

Nerve injury and neuropathic pain - A question of age.

Maria Fitzgerald, Rebecca McKelvey

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Experimental neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03409536 completednot on this mapstarted 2018, after this paper: background citation

Evaluation of the Diagnostic Threshold of SSEP of Brachial Plexus Injury

TypeobservationalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2018 to 2019Enrolled40ConditionsBrachial Plexus Injury, Peripheral Nerve InjuriesArmsSSEP monitoring
NCT03624426 nacompletednot on this mapstarted 2018, after this paper: background citation

Detection and Prevention of Perioperative Nerve Injury Using Automated Somatosensory Evoked Potential Monitoring in Shoulder Arthroplasty Surgery

TypeinterventionalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2018 to 2020Enrolled200ConditionsNeuropathy, Nerve InjuryArmsAutomated Somatosensory Evoked Potential device (EPAD@)
3 · Its place in the literature

Who cites it

47 citing papers in PubMed.

  1. Trial
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  4. Review
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  6. Article
  7. Diagnosis and Management of Neuropathic Breast Pain.Plastic and reconstructive surgery. Global open · 2024
    Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Spinal cord vascular degeneration impairs duloxetine penetration.Frontiers in pain research (Lausanne, Switzerland) · 2023
    Article
  20. Neuropathic pain; what we know and what we should do about it.Frontiers in pain research (Lausanne, Switzerland) · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Maria FitzgeraldDepartment of Neuroscience, Physiology & Pharmacology, University College London, London WC1E 6BT, United Kingdom.
Rebecca McKelveyDepartment of Neuroscience, Physiology & Pharmacology, University College London, London WC1E 6BT, United Kingdom.

Funding

Medical Research Council G0901269Medical Research Council MR/M006468/1
6 · The paper itself

Abstract

The effects of peripheral nerve injury on somatosensory processing and pain are highly dependent upon the age at which the damage occurs. Adult nerve injury rapidly triggers neuropathic pain, but this is not so if the same nerve injury is performed in animals below postnatal day (P) 28, consistent with observations in paediatric patients. However, longitudinal studies show that pain hypersensitivity emerges later in life, when the animal reaches adolescence, an observation that could be of clinical importance. Here we discuss the evidence that the central consequences of nerve damage are critically determined by the status of neuroimmune regulation at different ages. In the first postnatal weeks, when spinal somatosensory circuits are undergoing synaptic reorganisation, the 'default' neuroimmune response is skewed in an anti-inflammatory direction, suppressing the excitation of dorsal horn neurons and preventing the onset of neuropathic pain. As animals grow up and the central nervous system matures, the neuroimmune profile shifts in a pro-inflammatory direction, unmasking a 'latent' pain response to an earlier nerve injury. The data predicts that nerve injury in infancy and childhood could go unnoticed at the time, but emerge as clinically 'unexplained' or 'functional' pain in adolescence.

Indexed as

AgingAnimalsCytokinesHumansHyperalgesiaNeuralgiaPeripheral Nerve InjuriesCytokinesAdolescentAnti-inflammatoryDorsal hornMicrogliaNeonatalNeuroimmuneNeuropathic painPaediatricPeripheral nervePlasticityPro-inflammatorySomatosensory

Identifiers

PMID26220898
PMCPMC4691235

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.