Central post-stroke (‘thalamic syndrome’) and other central pains

Bowsher, David

doi:10.1177/104990919901600408

Cited by 32 publications

(55 citation statements)

References 20 publications

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“…Nörojenik a¤r›l› durumlar maligniteler gibi yaflam› tehdit eden hastal›klarda görülen a¤r› kadar olmasa da hastalarda ciddi s›k›nt›lara neden olabilmektedir (2)(3)(4). ‹nme sonras› santral a¤r› (‹SSA); iskemik veya hemorajik inme sonras› hasarlanan vü-cut bölgesinde görülen sensoriyel anormallikler ve devaml› veya aral›kl› a¤r› ile karakterize bir durumdur (5).…”

Section: G Gi Ir Ri Ifl Flunclassified

“…Ancak bu durum hastalar için büyük bir problem olmas›na ra¤men genellikle dikkate al›nmamaktad›r (1). ‹nme sonras› geliflen ‹SSA'n›n prevalans› %2-42 gibi oldukça genifl bir aral›kta bildirilmifltir (4,6,7).…”

Section: G Gi Ir Ri Ifl Flunclassified

“…Taktil allodini dokunma ile hissedilen a¤r› varl›¤›yla de¤erlendirildi. ‹ki nokta ve i¤nenin sivri bafl› ile yuvarlak bafl› aras›ndaki ay›r›m›n yap›l›p yap›lamamas›na göre keskinlik duyusu de¤erlendirildi (4).…”

Section: G Gi Ir Ri Ifl Flunclassified

“…Somatosensoriyel tutulum ‹SSA için temel olmakla birlikte birçok hastada ciddi motor defisit görülmemekte ve yaflam› tehtid edici bir etken bulunmamaktad›r (4,7). Hastalar›m›z›n Brunnstrom motor evrelendirmesine bakt›¤›m›zda ciddi motor defisitlerinin bulunmad›¤›n›, orta dereceli bir motor iyileflmeye sahip olduklar›n› tespit ettik.…”

Section: G Gi Ir Ri Ifl Flunclassified

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Features of Central Pain in Patients with Hemiplegia

Şahin¹,

Uğurlu²

2010

tftr

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Ö Öz ze et tA Am ma aç ç: : Bu çal›flman›n amac› serebrovasküler olay sonras› görülen santral a¤r›n›n fliddetinin fonksiyonel durum üzerine olan etkisini incelemekti. G Ge er re eç ç v ve e Y Yö ön nt te em m: : Nörolojik rehabilitasyon poliklini¤imize baflvuran, hemiplejik tarafta a¤r›, uyuflma ve hissizlik flikayeti bulunan 45 hastan›n fonksiyonel durumu ve a¤r› fliddeti de¤erlendirildi. Hastalar›n anamnez, visüel a¤r› skalas› (VAS) ve fizik muayene ile hemiplejik taraftaki a¤r›s›, Fonksiyonel Ba¤›ms›zl›k ‹ndeksi (FB‹) ile günlük yaflam aktiviteleri de¤er-lendirildi. B Bu ul lg gu ul la ar r: : Hastalar›n yafl ortalamas› 59,98±15,19 y›l olup, 24'ü kad›n, 21'i erkek idi. VAS ile a¤r› fliddeti 6,75±1,22 idi. Günlük yaflam aktiviteleri (FB‹ ve FB‹ subgruplar›) ile santral a¤r›n›n aras›nda FB‹ subgruplar›ndan kendine bak›m, transfer, sosyal aktivite ve FB‹'nin toplam›nda anlaml› bir iliflki tespit edildi (p<0,05). S So on nu uç ç: : Bu çal›flmada santral a¤r›n›n hemiplejik hastada fonksiyonel durumu etkiledi¤i, hastan›n motor iyileflmesi iyi olmas›na karfl›n fonksiyonel düzeyinin düflük oldu¤u saptand›. Sonuç olarak santral a¤r› ciddi a¤r› ve yetersizlik nedenidir, rehabilitasyon programlar›n› olumsuz etkilemekte ve öncelikli olarak tedavi edilmesi gerekmektedir. Türk Fiz T›p Rehab Derg 2010;56:52-5. A An na ah ht ta ar r K Ke el li im me el le er r: : Santral a¤r›, hemipleji, fonksiyonel durum, rehabilitasyon S Su um mm ma ar ry y O Ob bj je ec ct ti iv ve e: The aim of this study was to investigate intensity of the central pain after a cerebrovascular episode and its effect on functional status. M Ma at te er ri ia al ls s a an nd d M Me et th ho od ds s: : Forty-five patients complaining of pain, numbness, and tingling in the hemiplegic side were admitted to our stroke clinic and the functional status and intensity of pain were evaluated. The pain in the hemiplegic side was assessed by: patient history, visual analogue scale (VAS), physical examination, and activities of daily living using the Functional Independence Measure (FIM). R Re es su ul lt ts s: : The mean age of the patients was 59.98±15.19 years-24 females and 21 males. Intensity of pain by VAS is 6.75±1.22. Significant relationship was found between central pain and some subitems of the FIM i.e.self-care, transfers, social cognitions and total FIM (p<0.05).

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Section: G Gi Ir Ri Ifl Flunclassified

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Features of Central Pain in Patients with Hemiplegia

Şahin¹,

Uğurlu²

2010

tftr

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“…The most important diagnostic indicator for central post-stroke pain is the presence of somatosensory disorders accompanying the chronic pain. There is often abnormal pain and heat sensation on the side of the stroke (4,6,13). Patients generally define their pain as "burningboiling" or "burning-freezing" in nature (5).…”

Section: Introductionmentioning

confidence: 99%

Central Post-Stroke Pain in Stroke Patients: Incidence and the Effect on Quality of Life

Kılıç¹,

Erhan²,

Gündüz³

et al. 2015

Turk J Phys Med Rehab

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Objective: The aim of this study was to investigate the incidence of central post-stroke pain in stroke patients and the effect of central post-stroke pain on quality of life. Material and Methods: One hundred stroke patients (47 women, 53 men), admiting to the inpatient rehabilitation clinic or stroke outpatient followup clinic were included in this cross-sectional study. Patients with aphasia, intermediate and advanced levels of cognitive disorder, subarachnoid hemorrhage, arteriovenous malformation, tumor, traumatic brain injury and multiple sclerosis causing hemiplegia, having neuropathic pain and complex regional pain syndrome in the history were excluded. central pain was evaluated with Leeds assessent of neuropathic symptoms and signs pain scale (LANSS), quality of life was assessed with the Nottingham Health Profile. Results: The mean age of the patients were 60.27±11.59 years, stroke duration was 14.65 months (range 2-124). Hemiplegia was on the right side in 35 cases, left side in 65 cases. 77 patients had ischemic, 23 patients had hemorrhagic etiology. Twelve patients had central post-stroke thalamic pain. Central pain was related with a significant difference in the pain parameter of Nottingham Health Profile (NHP)(p=0.001). Conclusion:The central post-stroke pain is a complication that should not be ignored because it is not rare and has negative impact on the quality of life of patients with stroke.

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Functional Neuroanatomy of Pain

Popratiloff²,

Schmitt³

et al. 2006

Advances in Anatomy Embryology and Cell Biology

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Central post-stroke (‘thalamic syndrome’) and other central pains

Cited by 32 publications

References 20 publications

Features of Central Pain in Patients with Hemiplegia

Features of Central Pain in Patients with Hemiplegia

Central Post-Stroke Pain in Stroke Patients: Incidence and the Effect on Quality of Life

Functional Neuroanatomy of Pain

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