Chapter

Central neuropathic pain

David Bowsher

in Neuropathic Pain

Second edition

Published on behalf of Oxford University Press

ISBN: 9780199563678
Published online May 2011 | e-ISBN: 9780199607426 | DOI: http://dx.doi.org/10.1093/med/9780199563678.003.0007

Series: Oxford Pain Management Library

Central neuropathic pain

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• Central neuropathic pain can arise following damage to spinothalamocortical pathways in the spinal cord and brain • Stroke, multiple sclerosis, and spinal cord injury (trauma or disease) are the predominant causes • Central neuropathic pain is wrongly considered a rarity; several tens of thousands of cases exist in the UK and it can develop up to two years after stroke • Tactile and cold allodynia are common • Central neuropathic pain seems to be less responsive to co-analgesics and opioids than peripheral neuropathic pain though novel methods of pain control are being developed; some show promise.

Chapter.  2487 words.  Illustrated.

Subjects: Anaesthetics ; Pain Medicine

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