Pain as the first manifestation of an acute ischemic parietal stroke: A case report

Saucedo, Miguel; Francesco, Laura De; Chertcoff, Aníbal; Bandeo, Lucrecia; Cejas, Luciana León; Pardal, Manuel María Fernández; Miquelini, Ariel; Reisin, Ricardo; Bonardo, Pablo

doi:10.18502/ijnl.v19i1.3290

Cited by 1 publication

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“…One patient had left‐sided hemiballismus‐hemichorea, left inferior quadrantanopia, left‐sided sensory deficits/tactile hemi‐extinction, and slight ataxic hemiparesis 17 . The other patient had an accompanying left leg weakness and diminished pinprick, light touch, temperature, and vibratory sensation 10 . In the aforementioned patient, the painful sensation remitted after 48 h 9 .…”

Section: Resultsmentioning

confidence: 97%

“…As an example of focal pain are two cases with ischemic parietal lesions 9,10 . In these patients, the pain was located in the distal arm 9 and dorsum of the foot, 10 respectively. One patient had left‐sided hemiballismus‐hemichorea, left inferior quadrantanopia, left‐sided sensory deficits/tactile hemi‐extinction, and slight ataxic hemiparesis 17 .…”

Section: Resultsmentioning

confidence: 99%

“…After 10 days, the pain had nearly disappeared 8 . Acute neurogenic pain can be focal and isolated to one extremity 9,10 or involve the entire side of the body 11 . As an example of focal pain are two cases with ischemic parietal lesions 9,10 .…”

Section: Resultsmentioning

confidence: 99%

“…Acute neurogenic pain can be focal and isolated to one extremity 9,10 or involve the entire side of the body 11 . As an example of focal pain are two cases with ischemic parietal lesions 9,10 . In these patients, the pain was located in the distal arm 9 and dorsum of the foot, 10 respectively.…”

Section: Resultsmentioning

confidence: 99%

“…17 The other patient had an accompanying left leg weakness and diminished pinprick, light touch, temperature, and vibratory sensation. 10 In the aforementioned patient, the painful sensation remitted after 48 h. 9 MRI revealed an ischemic lesion in the anterior parietal cortex 9 and right parasagittal parietal cortex, 10 respectively. Complete hemisensory pain has been described in insular stroke in a patient presenting with acute onset of constant burning paresthesias in the left side of the body.…”

Section: Re Sultsmentioning

confidence: 91%

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Atypical painful stroke presentations: A review

Bayat

Blauenfeldt

2022

Acta Neuro Scandinavica

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Stroke is a leading cause of death and disability. Reperfusion therapies with intravenous thrombolysis and mechanical thrombectomy have greatly improved outcomes but the therapeutic time window remains narrow. 1 Prehospital delay and presentation outside this time window is the leading cause of not receiving reperfusion therapy 2 Causes of prehospital delay are multifactorial but impaired stroke symptom awareness and help seeking behavior in patients and missed identification of stroke by healthcare professionals may play an important role. 3,4 Some patients may present with atypical symptoms leading to an initial misdiagnosis, increased prehospital delay, and missed treatment with thrombolysis or thrombectomy.Stroke "chameleons" are patients with actual stroke who have atypical or unusual presentations, mimicking a non-vascular cause. 5 Presenting as a "stroke chameleon" may be associated with a worse outcome. 6 One of the very rare presentations of stroke is initial neurogenic pain. Post-stroke pain is well-known amongst neurologists but pain as an initial symptom of stroke is not a well-known entity.It has been anecdotally described but a review of painful stroke presentations has not been published previously. Acute trigeminal neuralgia, atypical facial pain, hemisensory pain, and episodic pain

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Section: Resultsmentioning

confidence: 97%