Central poststroke pain: somatosensory abnormalities and the presence of associated myofascial pain syndrome

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorOLIVEIRA, Rogerio Adas Ayres de
dc.contributor.authorANDRADE, Daniel Ciampi de
dc.contributor.authorMACHADO, Andre Guelman Gomes
dc.contributor.authorTEIXEIRA, Manoel Jacobsen
dc.date.accessioned2013-07-30T15:08:17Z
dc.date.available2013-07-30T15:08:17Z
dc.date.issued2012
dc.description.abstractBackground: Central post-stroke pain (CPSP) is a neuropathic pain syndrome associated with somatosensory abnormalities due to central nervous system lesion following a cerebrovascular insult. Post-stroke pain (PSP) refers to a broader range of clinical conditions leading to pain after stroke, but not restricted to CPSP, including other types of pain such as myofascial pain syndrome (MPS), painful shoulder, lumbar and dorsal pain, complex regional pain syndrome, and spasticity-related pain. Despite its recognition as part of the general PSP diagnostic possibilities, the prevalence of MPS has never been characterized in patients with CPSP patients. We performed a cross-sectional standardized clinical and radiological evaluation of patients with definite CPSP in order to assess the presence of other non-neuropathic pain syndromes, and in particular, the role of myofascial pain syndrome in these patients. Methods: CPSP patients underwent a standardized sensory and motor neurological evaluation, and were classified according to stroke mechanism, neurological deficits, presence and profile of MPS. The Visual Analogic Scale (VAS), McGill Pain Questionnaire (MPQ), and Beck Depression Scale (BDS) were filled out by all participants. Results: Forty CPSP patients were included. Thirty-six (90.0%) had one single ischemic stroke. Pain presented during the first three months after stroke in 75.0%. Median pain intensity was 10 (5 to 10). There was no difference in pain intensity among the different lesion site groups. Neuropathic pain was continuous-ongoing in 34 (85.0%) patients and intermittent in the remainder. Burning was the most common descriptor (70%). Main aggravating factors were contact to cold (62.5%). Thermo-sensory abnormalities were universal. MPS was diagnosed in 27 (67.5%) patients and was more common in the supratentorial extra-thalamic group (P <0.001). No significant differences were observed among the different stroke location groups and pain questionnaires and scales scores. Importantly, CPSP patients with and without MPS did not differ in pain intensity (VAS), MPQ or BDS scores. Conclusions: The presence of MPS is not an exception after stroke and may present in association with CPSP as a common comorbid condition. Further studies are necessary to clarify the role of MPS in CPSP.
dc.description.indexMEDLINE
dc.description.sponsorshipDepartment of Neurology, University of Sao Paulo, Brazil (FMUSP)
dc.identifier.citationBMC NEUROLOGY, v.12, article ID 89, 8p, 2012
dc.identifier.doi10.1186/1471-2377-12-89
dc.identifier.issn1471-2377
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/754
dc.language.isoeng
dc.publisherBIOMED CENTRAL LTD
dc.relation.ispartofBMC Neurology
dc.rightsopenAccess
dc.rights.holderCopyright BIOMED CENTRAL LTD
dc.subject.otherlong-term pain
dc.subject.othersensory abnormalities
dc.subject.otherstroke
dc.subject.otherdisease
dc.subject.otherlesions
dc.subject.othersystem
dc.subject.wosClinical Neurology
dc.titleCentral poststroke pain: somatosensory abnormalities and the presence of associated myofascial pain syndrome
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalMACHADO, Andre Guelman Gomes:Cleveland Clin Fdn, Funct Neurosurg Ctr Neurol Restorat, Cleveland, OH 44195 USA
hcfmusp.citation.scopus37
hcfmusp.contributor.author-fmusphcROGERIO ADAS AYRES DE OLIVEIRA
hcfmusp.contributor.author-fmusphcDANIEL CIAMPI ARAUJO DE ANDRADE
hcfmusp.contributor.author-fmusphcMANOEL JACOBSEN TEIXEIRA
hcfmusp.description.articlenumber89
hcfmusp.description.volume2012
hcfmusp.origemWOS
hcfmusp.origem.pubmed22966989
hcfmusp.origem.scopus2-s2.0-84865980508
hcfmusp.origem.wosWOS:000310364700001
hcfmusp.publisher.cityLONDON
hcfmusp.publisher.countryENGLAND
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hcfmusp.remissive.sponsorshipFMUSP
hcfmusp.scopus.lastupdate2024-05-17
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