PAINWeek Journal Premier Issue | Page 19

3. Mental Deterioration Neuroinflammation causes tissue destruction and cellular loss that may result in losses of memory, reading ability, attention span, and logical thinking.15,16 Dementia can occur, resulting in the need for domiciliary care. There appears to be considerable loss of brain tissue in severe cases.17-20 e e e terminology clarification C NTRALiZ D VS C NTRAL PAiN: Centralized has recently emerged as the consensus term meaning that pain initially started in the periphery and migrated into the CNS. It may also begin de novo in the CNS.21 The latter type of pain disorders include fibromyalgia, irritable bowel syndrome, interstitial cystitis, vulvodynia, prostatitis, and temporal mandibular joint disorder.3,4,19 At this time, central pain remains the t \