Clinical Commissioning Policy Proposition: Deep Brain Stimulation for Central Post Stroke Pain

Clinical Commissioning Policy: Deep Brain Stimulation for Central Post Stroke Pain Reference: NHS England: 16026/P

Deep brain stimulation for the alleviation of post-stroke neuropathic pain.

Our aim was to asses the efficacy of deep brain stimulation in post-stroke neuropathic pain. Since 2000, 15 patients with post-stroke intractable neuropathic pain were treated with deep brain stimulation of the periventricular gray area (PVG), sensory thalamus (Ventroposterolateral nucleus-VPL) or both. Pain was assessed using both a visual analogue scale and the McGill's pain questionnaire. VA...

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...

Analgesia in conjunction with normalisation of thermal sensation following deep brain stimulation for central post-stroke pain

The aetiology of central post-stroke pain (CPSP) is poorly understood and such pains are often refractory to treatment. We report the case of a 56-year-old man, who, following a temporo-parietal infarct, suffered from debilitating and refractory hemi-body cold dysaesthesia and severe tactile allodynia. This was associated with thermal and tactile hypoaesthesia and hypoalgesia on his affected si...

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...