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Understanding central post-stroke pain

¹St. Joseph's Hospital, Milwaukee, Wisconsin 53210-1688, USA.

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses

|February 1, 1996

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Central post-stroke pain (CPSP), also known as Dejerine-Roussy syndrome, affects thousands of stroke survivors. While its exact cause is unknown, various treatments offer potential relief and pain management strategies.

Area of Science:

Neurology
Pain Medicine
Neuroscience

Background:

Dejerine-Roussy syndrome, a type of central post-stroke pain (CPSP), was first described nearly a century ago.
This condition affects approximately 30,000 stroke survivors in the United States.
The precise pathogenesis of CPSP, particularly lesions in the neospinothalamocortical tract, remains unclear.

Purpose of the Study:

To provide an overview of central post-stroke pain (CPSP).
To discuss current understanding of CPSP pathogenesis.
To review available pharmacotherapeutic and surgical options for pain relief.

Main Methods:

Review of existing literature on Dejerine-Roussy syndrome and central post-stroke pain.
Analysis of potential etiological factors and lesion locations.

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Examination of current treatment modalities.

Main Results:

Central post-stroke pain (CPSP) is a recognized neurological condition following stroke.
Lesions in the neospinothalamocortical tract are implicated, but pathogenesis is not fully elucidated.
Pharmacological and surgical interventions can provide relief for some patients.

Conclusions:

Definitive relief for all central post-stroke pain (CPSP) sufferers may not yet be achievable.
An informed approach to managing CPSP offers potential for pain relief and mastery.
Empowering consumers and caregivers with information facilitates better decision-making and "intelligent caring".