Pain as a Manifestation of Acute Anterior-Spinal-Artery Thrombosis

Deller, John J.; Scalettar, Raymond; Levens, Arthur J.

doi:10.1056/nejm196005262622108

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Anterior Spinal Artery Infarct (Asas)1

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1966

2013

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Cited by 4 publications

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“…Milder and more fleeting signs may occur after an episode of ischwmia without infarction (Garcin 1961). Prodromal dysesthesim frequently herald the impending stroke and are followed by pain of a girdle or root distribution as the thrombus forms. They are also common in nonthrombotic cases (Ornsteen 1931, Steegman 1952, Peterman et al 1958, Deller et al 1960). The stroke itself begins with weakness of a limb, progressing rapidly to a flaccid tetraplegia or paraplegia depending on the arterial segment involved.…”

Section: Resultsmentioning

confidence: 99%

Vascular Disorders of the Spinal Cord

Wells

1966

Proceedings of the Royal Society of Medicine

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Section: Resultsmentioning

confidence: 99%

Vascular Disorders of the Spinal Cord

Wells

1966

Proceedings of the Royal Society of Medicine

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“…The combination of sudden lanciating radicular pain together with sensory and motor symptoms is observed in the acute ASAS [72][73][74][75][76]. The most frequent presentation is back pain (82 %) [74,77].…”

Section: Anterior Spinal Artery Infarct (Asas)mentioning

confidence: 99%

Pain Management in Neurocritical Care

Petzold

Girbes

2013

Neurocrit Care

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The core challenge of pain management in neurocritical care is to keep the patient comfortable without masking or overlooking any neurological deterioration. Clearly in patients with a neurological problem there is a conflict of clinical judgement and adequate pain relief. Here we review the presentation, assessment, and development of pain in the clinical spectrum of patients with associated neurological problems seen in a general intensive care setting. Many conditions predispose to the development of chronic pain. There is evidence that swift and targeted pain management may improve the outcome. Importantly pain management is multidisciplinary. The available non-invasive, pharmacological, and invasive treatment strategies are discussed.

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