Multifaceted evaluation of central post–stroke pain

Spinal cord stimulation for central poststroke pain.

BACKGROUND Although spinal cord stimulation (SCS) has been shown to be effective for treating neuropathic pain of peripheral origin, its effectiveness for central poststroke pain (CPSP) is not well established. OBJECTIVE We report our experience with SCS in 30 consecutive patients with intractable CPSP. METHODS All patients underwent a percutaneous SCS trial. When patients decided to procee...

From thalamic syndrome to central poststroke pain.

Central poststroke pain: a review of pathophysiology and treatment.

BACKGROUND Central poststroke pain (CPSP) is a disabling morbidity occurring in 8%-14% of patients with stroke. It is infrequently recognized and difficult to manage. OBJECTIVE We systematically reviewed the pathophysiology and treatment of CPSP. METHODS We conducted a Medline search using the key words "central post-stroke pain," "post-stroke pain," "CPSP and basic studies," "CPSP and clin...

Central poststroke pain: somatosensory abnormalities and the presence of associated myofascial pain syndrome

BACKGROUND Central post-stroke pain (CPSP) is a neuropathic pain syndrome associated with somatosensory abnormalities due to central nervous system lesion following a cerebrovascular insult. Post-stroke pain (PSP) refers to a broader range of clinical conditions leading to pain after stroke, but not restricted to CPSP, including other types of pain such as myofascial pain syndrome (MPS), painfu...

Pain anticipatory phenomena in patients with central poststroke pain: a magnetoencephalography study.

Central poststroke pain (CPSP) is characterized by hemianesthesia associated with unrelenting chronic pain. The final pain experience stems from interactions between sensory, affective, and cognitive components of chronic pain. Hence, managing CPSP will require integrated approaches aimed not only at the sensory but also the affective-cognitive spheres. A better understanding of the brain's pro...