Neuropathic pain syndrome displayed by malingerers.
Among 237 patients communicating chronic pain, associated with sensory-motor and "autonomic" displays, qualifying taxonomically for neuropathic pain, there were 16 shown through surveillance to be malingerers. When analyzed through neurological methods, their profile was characteristically atypical. There were no objective equivalents of peripheral or central processes impairing nerve impulse transmission. In absence of medical explanation, all 16 had been adjudicated, by default, the label complex regional pain syndrome (CRPS). The authors emphasize that CRPS patients may not only harbor unrecognized pathology ("lesion") of the nervous system (CRPS II), hypothetical central neuronal "dysfunction" (CRPS I), or conversion disorder, but may display a recognizable simulated illness without neuropsychiatric pathology.
Ochoa
José L
JL
The Oregon Nerve Center, Good Samaritan Medical Center, 1040 NW 22nd Ave., Suite 600, Portland, OR 97210, USA. jochoa@nervesense.net
Verdugo
Renato J
RJ
D000328:Adult; D002908:Chronic Disease; D020918:Complex Regional Pain Syndromes / Q000175:diagnosis*; D003291:Conversion Disorder / Q000175:diagnosis; D005260:Female; D006801:Humans; D008297:Male; D008306:Malingering / Q000175:diagnosis*; D008875:Middle Aged; D009437:Neuralgia / Q000175:diagnosis*; D012720:Severity of Illness Index