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Pain after stroke: A review.

B Delpont1, C Blanc2, G V Osseby2

  • 1CHU de Dijon Bourgogne, centre anti-douleur, 21079 Dijon, France; Unité de soins intensifs neuro-vasculaires et réseau bourgogne-AVC, CHU de Dijon Bourgogne, 14, rue Paul-Gaffarel, 21079 Dijon cedex, France.

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Summary

Pain after stroke (PAS) is common, leading to depression and reduced quality of life. This report details PAS syndromes, risk factors, and treatments to improve patient outcomes.

Keywords:
Central post-stroke painComplex regional painPainShoulderStroke

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Area of Science:

  • Neurology
  • Pain Medicine
  • Rehabilitation

Background:

  • Pain after stroke (PAS) is a prevalent and often overlooked clinical issue.
  • PAS significantly contributes to depression, cognitive impairment, and diminished quality of life.

Purpose of the Study:

  • To equip practitioners with knowledge on common PAS syndromes.
  • To outline risk factors, prevention strategies, and specific treatments for PAS.

Main Methods:

  • Review of common PAS syndromes including central post-stroke pain, spasticity, contractures, shoulder pain, complex regional pain syndromes, headache, and chondrocalcinosis.
  • Identification of associated risk factors.
  • Description of prevention and treatment modalities.

Main Results:

  • Common PAS syndromes identified and described.
  • Risk factors for developing PAS are outlined.
  • Specific prevention and treatment strategies are detailed for various syndromes.

Conclusions:

  • Enhanced clinical training for diagnosing, treating, and preventing PAS is recommended.
  • Early identification of at-risk patients is crucial for intervention.
  • Effective PAS management can improve motor and cognitive functions and overall quality of life.