Book contents
- Cambridge Handbook of Pain Medicine
- Cambridge Handbook of Pain Medicine
- Copyright page
- Contents
- Contributors
- Pain Handbook Introduction
- Part I Introduction to Pain: Pain Signaling Pathways
- Part II Common Categories of Pharmacologic Medications to Treat Chronic Pain
- Part III Chronic Pain Conditions Head and Neck
- Part IV Spine
- Part V Extremities
- Part VI Misc
- Chapter 26 Post-herpetic Neuralgia (PHN)
- Chapter 27 Complex Regional Pain Syndrome (CRPS)
- Chapter 28 Sickle Cell Disease
- Chapter 29 Breast Pain
- Chapter 30 Post-thoracotomy Pain
- Chapter 31 Multiple Sclerosis Pain
- Chapter 32 Cerebral Palsy
- Chapter 33 Myofascial Pain Syndrome
- Chapter 34 Post-stroke Pain
- Chapter 35 Chronic Abdominal Pain
- Chapter 36 Chronic Pelvic Pain
- Chapter 37 Postsurgical Nerve Entrapment
- Chapter 38 Cancer Pain
- Part VII Adjunctive Therapy
- Index
- References
Chapter 34 - Post-stroke Pain
from Part VI - Misc
Published online by Cambridge University Press: 01 December 2023
Book contents
- Cambridge Handbook of Pain Medicine
- Cambridge Handbook of Pain Medicine
- Copyright page
- Contents
- Contributors
- Pain Handbook Introduction
- Part I Introduction to Pain: Pain Signaling Pathways
- Part II Common Categories of Pharmacologic Medications to Treat Chronic Pain
- Part III Chronic Pain Conditions Head and Neck
- Part IV Spine
- Part V Extremities
- Part VI Misc
- Chapter 26 Post-herpetic Neuralgia (PHN)
- Chapter 27 Complex Regional Pain Syndrome (CRPS)
- Chapter 28 Sickle Cell Disease
- Chapter 29 Breast Pain
- Chapter 30 Post-thoracotomy Pain
- Chapter 31 Multiple Sclerosis Pain
- Chapter 32 Cerebral Palsy
- Chapter 33 Myofascial Pain Syndrome
- Chapter 34 Post-stroke Pain
- Chapter 35 Chronic Abdominal Pain
- Chapter 36 Chronic Pelvic Pain
- Chapter 37 Postsurgical Nerve Entrapment
- Chapter 38 Cancer Pain
- Part VII Adjunctive Therapy
- Index
- References
Summary
Chronic post-stroke pain (CPSP), Dejerine Roussy syndrome, is a specific injury resulting from usually ischemic stroke. Diagnosing and discovering direct mechanisms are still works in process. The syndrome is also hard to differentiate among other similar ones due to the varying symptomatic responses in individuals. Many different therapy processes and management systems are being studied to find an efficient and safe way to reduce the pain in individuals with CPSP. Seen in the treatments and management section, some techniques are invasive, while others are not. Transcranial stimulation is invasive. It leads to many other complications that come with surgical procedures. Other methods are not as invasive and have some existing evidence of reducing pain. Many of the treatments and management of CPSP still need more evidence to fully figure out their mechanisms of action and the consistent effects of the treatments. The different methods appear to have promising results and future research can help to uncover that potential.
- Type
- Chapter
- Information
- Cambridge Handbook of Pain Medicine , pp. 279 - 287Publisher: Cambridge University PressPrint publication year: 2023
References
Jahngir, MU, Qureshi, AI. Dejerine Roussy syndrome. StatPearls. Published online July 4, 2022. www.ncbi.nlm.nih.gov/books/NBK519047/.Google Scholar
Klit, H, Finnerup, NB, Jensen, TS. Central post-stroke pain: Clinical characteristics, pathophysiology, and management. Lancet Neurol. 2009;8(9):857–868. https://doi.org/10.1016/S1474-4422(09)70176-0.CrossRefGoogle ScholarPubMed
Kumar, B, Kalita, J, Kumar, G, Misra, UK. Central poststroke pain: A review of pathophysiology and treatment. Anesth Analg. 2009;108(5):1645–1657. https://doi.org/10.1213/ANE.0B013E31819D644C.CrossRefGoogle Scholar
Delpont, B, Blanc, C, Osseby, GV et al. Pain after stroke: A review. Rev Neurol (Paris). 2018;174(10):671–674. https://doi.org/10.1016/J.NEUROL.2017.11.011.CrossRefGoogle ScholarPubMed
Gasca-González, OO, Pérez-Cruz, JC, Baldoncini, M, Macías-Duvignau, MA, Delgado-Reyes, L. Neuroanatomical basis of Wallenberg syndrome. Cir Cir. 2020;88(3):376–382. https://doi.org/10.24875/CIRU.19000801.Google ScholarPubMed
Canavero, S, Bonicalzi, V. Central pain of brain origin. Central Pain Syndrome. Published online December 24, 2007:9–112. https://doi.org/10.1017/CBO9780511585692.003.CrossRefGoogle Scholar
Leijon, G, Boivie, J, Johansson, I. Central post-stroke pain: Neurological symptoms and pain characteristics. Pain. 1989;36(1):13–25. https://doi.org/10.1016/0304-3959(89)90107-3.CrossRefGoogle ScholarPubMed
Hansen, AP, Marcussen, NS, Klit, H et al. Pain following stroke: A prospective study. Eur J Pain. 2012;16(8):1128–1136. https://doi.org/10.1002/J.1532-2149.2012.00123.X.CrossRefGoogle ScholarPubMed
Akyuz, G, Kuru, P. Systematic review of central post stroke pain. Am J Phys Med Rehabil. 2016;95(8):618–627. https://doi.org/10.1097/PHM.0000000000000542.CrossRefGoogle ScholarPubMed
Zheng, Y, Xu, L, Dong, N, Li, F. NLRP3 inflammasome: The rising star in cardiovascular diseases. Front Cardiovasc Med. 2022;9:927061. doi: 10.3389/fcvm.2022.927061. PMID: 36204568; PMCID: PMC9530053.CrossRefGoogle ScholarPubMed
Whiting, BB, Whiting, AC, Whiting, DM. Thalamic deep brain stimulation. Prog Neurol Surg. 2018;33:198–206. https://doi.org/10.1159/000481104.CrossRefGoogle ScholarPubMed
Kumar, A, Bhoi, SK, Kalita, J, Misra, UK. Central poststroke pain can occur with normal sensation. Clin J Pain. 2016;32(11):955–960. https://doi.org/10.1097/AJP.0000000000000344.CrossRefGoogle ScholarPubMed
Şahin-Onat, Ş, Ünsal-Delialioğlu, S, Kulaklı, F, Özel, S. The effects of central post-stroke pain on quality of life and depression in patients with stroke. J Phys Ther Sci. 2016;28(1):96–101. https://doi.org/10.1589/JPTS.28.96.CrossRefGoogle ScholarPubMed
Paolucci, S, Iosa, M, Toni, D et al. Prevalence and time course of post-stroke pain: A multicenter prospective hospital-based study. Pain Med (United States). 2016;17(5):924–930. https://doi.org/10.1093/PM/PNV019.Google Scholar
Lim, TH, Choi, SI, Yoo, JI et al. Thalamic pain misdiagnosed as cervical disc herniation. Korean J Pain. 2016;29(2):119–122. https://doi.org/10.3344/KJP.2016.29.2.119.CrossRefGoogle ScholarPubMed
Urits, I, Gress, K, Charipova, K et al. Diagnosis, treatment, and management of Dejerine-Roussy syndrome: A comprehensive review. Curr Pain Headache Rep. 2020;24(9):48. https://doi.org/10.1007/S11916-020-00887-3.CrossRefGoogle ScholarPubMed
Chen, CC, Chuang, YF, Huang, ACW, Chen, CK, Chang, YJ. The antalgic effects of non-invasive physical modalities on central post-stroke pain: A systematic review. J Phys Ther Sci. 2016;28(4):1368–1373. https://doi.org/10.1589/JPTS.28.1368.CrossRefGoogle ScholarPubMed
Park, JH, Park, HJ. Botulinum toxin for the treatment of neuropathic pain. Toxins (Basel). 2017;9(9):260. https://doi.org/10.3390/TOXINS9090260.CrossRefGoogle ScholarPubMed
Ward, M, Mammis, A. Deep brain stimulation for the treatment of Dejerine-Roussy syndrome. Stereotact Funct Neurosurg. 2017;95(5):298–306. https://doi.org/10.1159/000479526.CrossRefGoogle ScholarPubMed
Jin, Y, Xing, G, Li, G et al. High frequency repetitive transcranial magnetic stimulation therapy for chronic neuropathic pain: A meta-analysis. Pain Physician. 2015;18(6):E1029–E1046. https://doi.org/10.36076/ppj.2015/18/e1029.Google ScholarPubMed
Morishita, T, Hyakutake, K, Saita, K et al. Pain reduction associated with improved functional interhemispheric balance following transcranial direct current stimulation for post-stroke central pain: A case study. J Neurol Sci. 2015;358(1–2):484–485. https://doi.org/10.1016/J.JNS.2015.08.1551.CrossRefGoogle ScholarPubMed
Bae, SH, Kim, GD, Kim, KY. Analgesic effect of transcranial direct current stimulation on central post-stroke pain. Tohoku J Exp Med. 2014;234(3):189–195. https://doi.org/10.1620/TJEM.234.189.CrossRefGoogle ScholarPubMed
Yamamoto, T, Watanabe, M, Obuchi, T et al. Importance of pharmacological evaluation in the treatment of poststroke pain by spinal cord stimulation. Neuromodulation. 2016;19(7):744–751. https://doi.org/10.1111/NER.12408.CrossRefGoogle ScholarPubMed
Spitoni, GF, Pireddu, G, Galati, G et al. Caloric vestibular stimulation reduces pain and somatoparaphrenia in a severe chronic central post-stroke pain patient: A case study. PLoS One. 2016;11(3):e0151213. https://doi.org/10.1371/JOURNAL.PONE.0151213.CrossRefGoogle Scholar
Liao, C, Yang, M, Liu, P, Zhong, W, Zhang, W. Thalamic pain alleviated by stellate ganglion block: A case report. Medicine. 2017;96(5):e6058. https://doi.org/10.1097/MD.0000000000006058.CrossRefGoogle ScholarPubMed