Central Poststroke Pain: Current Diagnosis and Treatment

被引：35

作者：

Flaster, Murray ^{[1
]}

Meresh, Edwin ^{[2
]}

Rao, Murali ^{[2
]}

Biller, Jose ^{[1
]}

机构：

[1] Loyola Univ Chicago, Stritch Sch Med, Dept Neurol, Maywood, IL USA

[2] Loyola Univ Chicago, Stritch Sch Med, Dept Psychiat & Behav Neurosci, Maywood, IL USA

来源：

TOPICS IN STROKE REHABILITATION | 2013年 / 20卷 / 02期

关键词：

central post-stroke pain; cortical pain; deep brain stimulation (DBS); lateral medullary stroke; pharmacotherapy; repetitive transcortical magnetic stimulation (rTMS); thalamic pain; TRANSCRANIAL MAGNETIC STIMULATION; CENTRAL NEUROPATHIC PAIN; MOTOR CORTEX STIMULATION; PLACEBO-CONTROLLED TRIAL; DEEP BRAIN-STIMULATION; SPINAL-CORD-INJURY; CLINICAL CHARACTERISTICS; REUPTAKE INHIBITOR; DOUBLE-BLIND; LONG-TERM;

D O I：

10.1310/tsr2002-116

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Central post-stroke pain syndrome (CPSP) is a debilitating sequel that can follow thalamic sensory stroke. Less well recognized, CPSP follows lateral medullary stroke and parietal cortical stroke and may develop anywhere along the spinothalamic or trigemino-thalamic pathways. Patients describe sharp, stabbing, or burning pain and experience hyperpathia and especially allodynia. Although CPSP was first described over 100 years ago, CPSP is too frequently under-recognized. It is treatable disorder. Pharmacological therapy, magnetic stimulation, and invasive electrical stimulation are reviewed and recommendations made.

引用

页码：116 / 123

页数：8

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