Chapter

Central Post-Stroke Pain

Tabitha A. Washington, Khalilah Brown and Gilbert Fanciullo

in Pain

Published on behalf of Oxford University Press

Published in print December 2011 | ISBN: 9780199827602
Published online April 2013 | e-ISBN: 9780199322909 | DOI: http://dx.doi.org/10.1093/med/9780199827602.003.0004

Series: What Do I Do Now

Central Post-Stroke Pain

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Preview

Often thought only in association with thalamic pain syndrome following infarct to the thalamus, pain following stroke may occur with any setting of stroke affecting nociceptive fibers at any level. Neuropathic or central pain can occur in up to 8% of patients after a stroke. Medical treatment usually begins with a trial of Lamotrigine and a second-line drug may be added. For severe, refractory cases, repetitive transcranial magnetic stimulation (rTMS) may be offered.

Chapter.  2069 words. 

Subjects: Neurology ; Pain Medicine

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