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Central Post-Stroke Pain 

Central Post-Stroke Pain
Chapter:
Central Post-Stroke Pain
Author(s):

Tabitha A. Washington

, Khalilah Brown

, and Gilbert Fanciullo

DOI:
10.1093/med/9780199827602.003.0004
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date: 23 October 2019

Often thought only in association with thalamic pain syndrome following infarct to the thalamus, pain following stroke may occur with any setting of stroke affecting nociceptive fibers at any level. Neuropathic or central pain can occur in up to 8% of patients after a stroke. Medical treatment usually begins with a trial of Lamotrigine and a second-line drug may be added. For severe, refractory cases, repetitive transcranial magnetic stimulation (rTMS) may be offered.

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