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Cited by 278

The DOI matches its Crossref record; 355 of the 355 references it cites were found in a registry or an index.

Neurological diseases and pain

Open access
Borsook, David·2012·Brain

Abstract

Chronic pain is a frequent component of many neurological disorders, affecting 20-40% of patients for many primary neurological diseases. These diseases result from a wide range of pathophysiologies including traumatic injury to the central nervous system, neurodegeneration and neuroinflammation, and exploring the aetiology of pain in these disorders is an opportunity to achieve new insight into pain processing. Whether pain originates in the central or peripheral nervous system, it frequently becomes centralized through maladaptive responses within the central nervous system that can profoundly alter brain systems and thereby behaviour (e.g. depression). Chronic pain should thus be considered a brain disease in which alterations in neural networks affect multiple aspects of brain function, structure and chemistry. The study and treatment of this disease is greatly complicated by the lack of objective measures for either the symptoms or the underlying mechanisms of chronic pain. In pain associated with neurological disease, it is sometimes difficult to obtain even a subjective evaluation of pain, as is the case for patients in a vegetative state or end-stage Alzheimer's disease. It is critical that neurologists become more involved in chronic pain treatment and research (already significant in the fields of migraine and peripheral neuropathies). To achieve this goal, greater efforts are needed to enhance training for neurologists in pain treatment and promote greater interest in the field. This review describes examples of pain in different neurological diseases including primary neurological pain conditions, discusses the therapeutic potential of brain-targeted therapies and highlights the need for objective measures of pain.

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Metadata

Authors
Borsook, D.
Venue
Brain
Published
2011-11-08
Volume
135
Issue
2
Pages
320-344
ISSN
  • 0006-8950 (ISSN-L)
  • 1460-2156
OpenAlex
W2098783566
Cited by
278
References
355
FWCI
8.67
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Neurological diseases and pain. https://app.cochat.ai/papers/10.1093/brain/awr271
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Borsook, D. (2012). Neurological diseases and pain. Brain. https://doi.org/10.1093/brain/awr271

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