Post Stroke Pain: Identification, Assessment, and Therapy

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Post stroke pain: identification, assessment, and therapy.

BACKGROUND Pain is a common complication after stroke and is associated with the presence of depression, cognitive dysfunction, and impaired quality of life. It remains underdiagnosed and undertreated, despite evidence that effective treatment of pain may improve function and quality of life. SUMMARY We provide an overview of the means for clinical assessment and risk factors for the developm...

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Post-stroke pain.

Pain is one of the most troublesome sequelae of stroke, occurring in 19-74% of patients. A portion of this post-stroke pain is caused by the brain lesion itself; this is called 'central post-stroke pain' (CPSP). Although the prevalence of CPSP among stroke patients is low (1-8%), the persistent, often treatment-refractory, painful sensations can be a major problem, decreasing the affected patie...

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Coping with Post-stroke Pain

Central post-stroke pain (CPSP) is a neuropathic pain syndrome characterized by constant or intermittent pain occurring after stroke and associated with sensory abnormalities in the painful body part. Sensory symptoms almost always develop on the side contralateral to the CNS lesion. Exceptionally, unpleasant sensations occur (with delayed onset) on the side ipsilateral to the lesion. CPSP occu...

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The Effects of Lamotrigine on Pain, Sleep, and Mood in Refractory Form of Central Post-Stroke Pain Syndrome

Background: Central post-stroke pain (CPSP) is a distressing pain syndrome, sometimes become refractory to the conventional pain managements. Anticonvulsants have been used to alleviate different central pains. Lamotrigine is a novel anticonvulsant and its proper dosage and its efficacy have not been well studied yet. The aim of this study was to evaluate the effect of 100 mg lamotrigine on ref...

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Post-stroke depression: mechanisms, translation and therapy

The interaction between depression and stroke is highly complex. Post-stroke depression (PSD) is among the most frequent neuropsychiatric consequences of stroke. Depression also negatively impacts stroke outcome with increased morbidity, mortality and poorer functional recovery. Antidepressants such as the commonly prescribed selective serotonin reuptake inhibitors improve stroke outcome, an ef...

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ژورنال

عنوان ژورنال: Cerebrovascular Diseases

سال: 2015

ISSN: 1015-9770,1421-9786

DOI: 10.1159/000375397