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Central post-stroke pain occurs
more frequently in young patients with
cortical/thalamic stroke and higher disability.
The young patients with thalamic/cortical stroke and with great disability showed a higher prevalence of central poststroke pain (CPSP). CPSP is a central neuropathic pain, arising due to damaged or dysfunction central nervous system. It is usually unrecognized in clinical practice which may complicate the rehabilitation process and decrease the quality of life. This study highlights the CPSP characteristics and frequency as well as the relationship between CPSP and attributes like clinical and sociodemographic among patients with stroke. A total of 602 patients were tested continuously for CPSP for two years. The LANSS (Leeds Assessment of Neuropathic Symptoms and Signs), DN4 (Douleur neuropathique en 4 questions) and PD-Q (Pain Detect Questionnaire) were used to diagnose neuropathic pain. A total of 12% of patients with thalamic and cortical stroke exhibited CPSP during their initial months after the stroke. Most of the patients who reported CPSP was young and showed a higher level of functional disability. The presence of pricking hypoesthesia and allodynia were the two characteristics that differentiate CPSP from other neuropathic pain. As per these results, young people with stroke are more prone to suffer from CPSP and related consequences.
J Neurol Sci
Frequency and features of the central poststroke pain
Zoran Vukojevic et al.
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