Journal
TOPICS IN STROKE REHABILITATION
Volume 20, Issue 2, Pages 116-123Publisher
THOMAS LAND PUBLISHERS, INC
DOI: 10.1310/tsr2002-116
Keywords
central post-stroke pain; cortical pain; deep brain stimulation (DBS); lateral medullary stroke; pharmacotherapy; repetitive transcortical magnetic stimulation (rTMS); thalamic pain
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Central post-stroke pain syndrome (CPSP) is a debilitating sequel that can follow thalamic sensory stroke. Less well recognized, CPSP follows lateral medullary stroke and parietal cortical stroke and may develop anywhere along the spinothalamic or trigemino-thalamic pathways. Patients describe sharp, stabbing, or burning pain and experience hyperpathia and especially allodynia. Although CPSP was first described over 100 years ago, CPSP is too frequently under-recognized. It is treatable disorder. Pharmacological therapy, magnetic stimulation, and invasive electrical stimulation are reviewed and recommendations made.
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