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January 28, 2020; 94 (4) Article

Clinical phenotypes and classification algorithm for complex regional pain syndrome

Violeta Dimova, Myriam Selma Herrnberger, Fabiola Escolano-Lozano, View ORCID ProfileHeike Lydia Rittner, Eva Vlckova, Claudia Sommer, Christian Maihöfner, Frank Birklein
First published December 24, 2019, DOI: https://doi.org/10.1212/WNL.0000000000008736
Violeta Dimova
From the Department of Neurology (V.D., M.S.H., F.E.-L., F.B.), University Medical Center of the Johannes Gutenberg University Mainz; Departments of Anesthesiology (H.L.R.) and Neurology (C.S.), University Hospital Würzburg, Germany; Central European Institute of Technology and Medical Faculty (E.V.), Masaryk University, Brno; Department of Neurology (E.V.), University Hospital Brno, Czech Republic; and Department of Neurology (C.M.), General Hospital Fürth of the Friedrich-Alexander University Erlangen-Nürnberg, Germany.
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Myriam Selma Herrnberger
From the Department of Neurology (V.D., M.S.H., F.E.-L., F.B.), University Medical Center of the Johannes Gutenberg University Mainz; Departments of Anesthesiology (H.L.R.) and Neurology (C.S.), University Hospital Würzburg, Germany; Central European Institute of Technology and Medical Faculty (E.V.), Masaryk University, Brno; Department of Neurology (E.V.), University Hospital Brno, Czech Republic; and Department of Neurology (C.M.), General Hospital Fürth of the Friedrich-Alexander University Erlangen-Nürnberg, Germany.
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Fabiola Escolano-Lozano
From the Department of Neurology (V.D., M.S.H., F.E.-L., F.B.), University Medical Center of the Johannes Gutenberg University Mainz; Departments of Anesthesiology (H.L.R.) and Neurology (C.S.), University Hospital Würzburg, Germany; Central European Institute of Technology and Medical Faculty (E.V.), Masaryk University, Brno; Department of Neurology (E.V.), University Hospital Brno, Czech Republic; and Department of Neurology (C.M.), General Hospital Fürth of the Friedrich-Alexander University Erlangen-Nürnberg, Germany.
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Heike Lydia Rittner
From the Department of Neurology (V.D., M.S.H., F.E.-L., F.B.), University Medical Center of the Johannes Gutenberg University Mainz; Departments of Anesthesiology (H.L.R.) and Neurology (C.S.), University Hospital Würzburg, Germany; Central European Institute of Technology and Medical Faculty (E.V.), Masaryk University, Brno; Department of Neurology (E.V.), University Hospital Brno, Czech Republic; and Department of Neurology (C.M.), General Hospital Fürth of the Friedrich-Alexander University Erlangen-Nürnberg, Germany.
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  • ORCID record for Heike Lydia Rittner
Eva Vlckova
From the Department of Neurology (V.D., M.S.H., F.E.-L., F.B.), University Medical Center of the Johannes Gutenberg University Mainz; Departments of Anesthesiology (H.L.R.) and Neurology (C.S.), University Hospital Würzburg, Germany; Central European Institute of Technology and Medical Faculty (E.V.), Masaryk University, Brno; Department of Neurology (E.V.), University Hospital Brno, Czech Republic; and Department of Neurology (C.M.), General Hospital Fürth of the Friedrich-Alexander University Erlangen-Nürnberg, Germany.
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Claudia Sommer
From the Department of Neurology (V.D., M.S.H., F.E.-L., F.B.), University Medical Center of the Johannes Gutenberg University Mainz; Departments of Anesthesiology (H.L.R.) and Neurology (C.S.), University Hospital Würzburg, Germany; Central European Institute of Technology and Medical Faculty (E.V.), Masaryk University, Brno; Department of Neurology (E.V.), University Hospital Brno, Czech Republic; and Department of Neurology (C.M.), General Hospital Fürth of the Friedrich-Alexander University Erlangen-Nürnberg, Germany.
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Christian Maihöfner
From the Department of Neurology (V.D., M.S.H., F.E.-L., F.B.), University Medical Center of the Johannes Gutenberg University Mainz; Departments of Anesthesiology (H.L.R.) and Neurology (C.S.), University Hospital Würzburg, Germany; Central European Institute of Technology and Medical Faculty (E.V.), Masaryk University, Brno; Department of Neurology (E.V.), University Hospital Brno, Czech Republic; and Department of Neurology (C.M.), General Hospital Fürth of the Friedrich-Alexander University Erlangen-Nürnberg, Germany.
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Frank Birklein
From the Department of Neurology (V.D., M.S.H., F.E.-L., F.B.), University Medical Center of the Johannes Gutenberg University Mainz; Departments of Anesthesiology (H.L.R.) and Neurology (C.S.), University Hospital Würzburg, Germany; Central European Institute of Technology and Medical Faculty (E.V.), Masaryk University, Brno; Department of Neurology (E.V.), University Hospital Brno, Czech Republic; and Department of Neurology (C.M.), General Hospital Fürth of the Friedrich-Alexander University Erlangen-Nürnberg, Germany.
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Clinical phenotypes and classification algorithm for complex regional pain syndrome
Violeta Dimova, Myriam Selma Herrnberger, Fabiola Escolano-Lozano, Heike Lydia Rittner, Eva Vlckova, Claudia Sommer, Christian Maihöfner, Frank Birklein
Neurology Jan 2020, 94 (4) e357-e367; DOI: 10.1212/WNL.0000000000008736

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Article Information

vol. 94 no. 4 e357-e367
DOI: 
https://doi.org/10.1212/WNL.0000000000008736
PubMed: 
31874923

Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
0028-3878
Online ISSN: 
1526-632X
History: 
  • Received December 13, 2018
  • Accepted in final form July 18, 2019
  • First Published December 24, 2019.

Article Versions

  • Previous version (December 24, 2019 - 12:45).
  • You are viewing the most recent version of this article.
Copyright & Usage: 
© 2019 American Academy of Neurology

Author Disclosures

    1. Violeta Dimova, PhD*,
    2. Myriam Selma Herrnberger, MD*,
    3. Fabiola Escolano-Lozano, MD,
    4. Heike Lydia Rittner, MD,
    5. Eva Vlckova, MD,
    6. Claudia Sommer, MD,
    7. Christian Maihöfner, MD and
    8. Frank Birklein, MD
  1. Violeta Dimova, PhD*,
  2. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  3. Myriam Selma Herrnberger, MD*,
  4. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  5. Fabiola Escolano-Lozano, MD,
  6. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. Alnylam, travel expenses to preceptorship (not related to paper topic)

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  7. Heike Lydia Rittner, MD,
  8. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. Grünenthal, Phase III studies CRPS

    Research Support, Government Entities:
    1. Supported by the European Commission (602133— ncRNAPain) 2014-2018.

    Research Support, Academic Entities:
    1. Supported by Funds from the University Hospital of Wuerzburg.

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  9. Eva Vlckova, MD,
  10. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. (1) Czech Ministry of Health (grant number NV18-04-00159, subinvestigator, 2018-2021) (2) Colaborative project of 7th Framework programme of the European Commission (project Nr. 602133, ncRNAPain: Non-coding RNAs in neurogenic and neuropathic pain mechanisms and their application for risk assessment, patient stratification and personalized pain medicine), collaborator, 2013-2017.

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  11. Claudia Sommer, MD,
  12. Scientific Advisory Boards:
    1. Air Liquide, Alnylam, Akcea, Grünenthal

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. CSL Behring Grifols Kedrion Pfizer Inc Sanofi-Genzyme Shire

    Editorial Boards:
    1. Academic Editor, PlosOne

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. German Research Foundation (DFG)328/9-1; 328/10-1 Bundesministerium für Bildung und Forschung (BMBF), CMT-Net

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  13. Christian Maihöfner, MD and
  14. Scientific Advisory Boards:
    1. 1, Astellas, Bionorica, Grunenthal, Mundipharma, Novartis

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. Allergan, Astellas, Astra-Zeneca, Grunenthal, Lilly, Novartis, Pfizer, Mundipharma, UCB

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  15. Frank Birklein, MD
  16. Scientific Advisory Boards:
    1. Alnylam advisor, ongoing Almirall advisor, ongoing Akcea advisor, ongoing

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. Pfizer Germany

    Editorial Boards:
    1. Neurology, ed board, ongoing European Journal of Pain, field editor, ongoing Pain Medidicin, ed board, ongging The Open Neurology Journal, ed board, ongoing

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. Alnylam, IIT

    Research Support, Government Entities:
    1. German Research Foundation 2018-2022 Bi 579/11 Bi579/10 European comission, FP7 program, ncRNAPain No. 602133

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  1. From the Department of Neurology (V.D., M.S.H., F.E.-L., F.B.), University Medical Center of the Johannes Gutenberg University Mainz; Departments of Anesthesiology (H.L.R.) and Neurology (C.S.), University Hospital Würzburg, Germany; Central European Institute of Technology and Medical Faculty (E.V.), Masaryk University, Brno; Department of Neurology (E.V.), University Hospital Brno, Czech Republic; and Department of Neurology (C.M.), General Hospital Fürth of the Friedrich-Alexander University Erlangen-Nürnberg, Germany.
  1. Correspondence
    Dr. Dimova violeta.dimova{at}unimedizin-mainz.de
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