Résumé
La douleur chronique est un problème important, mais elle est sousestimée et sous-traitée dans l’enfance. La douleur chronique ou récurrente affecte 5–15 % des enfants [1]. Elle devient très courante dans de nombreuses maladies débilitantes uniques aux enfants, comme la paralysie cérébrale (PC), le spina-bifida ou les troubles neuromusculaires [2]. La plupart (75 %) des enfants atteints de cancer vont souffrir de douleur chronique et 5 % seront gravement atteints [3]. Le plus souvent, le traitement chirurgical de la douleur chez l’enfant est réalisé par la correction chirurgicale d’un trouble structurel (Tableau I). Rarement, les patients peuvent souffrir de syndromes de douleur chronique nociceptive ou neuropathique qui ne répondent pas à des mesures conservatrices ; les techniques d’ablation ou de neuromodulation peuvent alors être envisagées.
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Weil, A.G., Crevier, L. (2014). Chirurgie de la douleur chez l’enfant. In: Chirurgie de la douleur. Springer, Paris. https://doi.org/10.1007/978-2-8178-0509-2_31
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DOI: https://doi.org/10.1007/978-2-8178-0509-2_31
Publisher Name: Springer, Paris
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