An association of central post-stroke pain and thalamic hand

Castro-Costa, Carlos Maurício de; Vale, Otoni Cardoso do; Neto, José Ibiapina Siqueira

doi:10.1590/s0004-282x1992000100021

Cited by 1 publication

(1 citation statement)

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“…6 Since brain sites other than the thalamus (for example, medulla oblongata), the current formal term is CPSP. 4,7 CPSP is typically refractory to pharmacotherapy (NSAIDs, opioids, antidepressants, and anticonvulsants). More recent treatment options included stereotaxic irradiation of the pituitary with γ-irradiation, trans-cranial cortex stimulation and deep brain stimulation.…”

Section: Introductionmentioning

confidence: 99%

<p>Ultrasound-Guided Stellate Ganglion Block for Central Post-Stroke Pain: A Case Report and Review</p>

Liu¹,

Qing²,

Tang³

et al. 2020

JPR

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Background: Central post-stroke pain (CPSP) is refractory to pharmacotherapy (eg, NSAIDs, opioids, antidepressants, and anticonvulsants), and may require transcranial or deep brain stimulation. Case Presentation: A 67-year-old woman presented with severe paroxysmal cramp-like pain on the right side, including the head and both upper and lower extremities. The pain started 5 years earlier, was initially mild and occasional, but gradually intensified to an unbearable degree with an average of 10-15 daily episodes, each lasting for 5-10 mins. The patient disclosed "hemorrhagic stroke" 10 years ago that resulted in hemiplegia on the right side. CT examination verified the lesion. The patient received daily injection of 2-mL 2% lidocaine under ultrasound guidance to block the stellate ganglion. Pain subsided rapidly in both intensity and frequency. On the seventh day, the patient no longer had pain episodes. At the last follow-up, 9 months later, the patient was free from pain. Conclusion: Ultrasound-guided stellate ganglion block is a viable alternative for CPSP that is refractory to pharmacotherapy.

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Section: Introductionmentioning

confidence: 99%