Tramadol Challenge for Relief of Intractable Central Poststroke Pain

The relief of intractable pain by surgery.

In general the treatment of any painful condition is the treatment of its cause. But sometimes this is not possible, either because the underlying pathological process cannot be influenced favourably, or because its nature is not known while the pain itself cannot be relieved by medical treatment. Examples of the first subgroup are seen when nerve trunks are involved by malignant disease, by po...

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...

Unilateral prefrontal lobotomy for the relief of intractable pain.

1. Frontal lobotomy is an effective procedure for the relief of intractable pain. 2. Unilateral frontal lobotomy for the relief of pain is less successful than the bilateral (standard) operation. 3. Unwanted changes in personality and intellect are apt to be severe after the bilateral procedure. These changes, though of less degree, also occur with the unilateral operation performed by standard...

From thalamic syndrome to central poststroke pain.

Percutaneous electrical cordotomy in the relief of intractable pain.

Carcinoma of Bronchus-Garnett et al. MEDICALIJSUHNAL the explanation for the absent lobar perfusion in the other four patients in group 1. However, it is also possible that the bronchial tumour was producing obstructive emphysema, in which case it is postulated that the intra-alveolar pressure may then have been sufficient to prevent the radioactively labelled microemboli from entering the emph...