Revista de la Sociedad Española del Dolor
versión impresa ISSN 1134-8046
Introduction: Fibromyalgia can be considered a syndrome. The most frequent symptom and, in fact, the only diagnostic criterion is pain. Nevertheless, as a syndromic picture, fibromyalgia includes many other symptoms and signs, which are equally important and possibly sometimes as disabling as pain. Among all of these symptoms and signs, those related to the neurological sphere may be fundamental to understanding patients' general state. Material and methods: We designed and performed a survey of patients with a prior diagnosis of fibromyalgia with specific items on neuropsychological signs or symptoms associated with this disease, as well as the possibility of receiving treatment for these manifestations. In addition, we enquired about the possible triggering factors of the disease, and the patient´s opinion on the possible cause of the fibromyalgia. Results: One hundred surveys were completed. A high percentage of the symptoms were related to the nervous system and, at the time of the survey, these symptoms were reported by over 50% of the patients. Almost two-thirds of the patients related the onset of their disease with a stress or triggering factor. On the cause of the fibromyalgia, the most frequent response was that the fibromyalgia was of unknown cause, followed by a possible rheumatologic origin, and thirdly, of a neurological origin. Conclusions: Patients with fibromyalgia reported a high frequency of associated neurological symptoms. Consequently, all clinicians involved in the study and treatment of fibromyalgia should bear in mind the role of neurological symptoms in this syndrome.
Palabras clave : Bruxism; Headache; Contractures; Temporomandibular dysfunction; Pain; Fatigue; Fibromyalgia; Insomnia; Parestesia; Restless legs.