By Sergio Canavero
Critical discomfort Syndrome is a neurological situation attributable to harm in particular to the vital fearful process - mind, brainstem, or spinal twine. this can be the single up to date booklet to be had at the scientific points (including prognosis and remedy) of CPS administration. The authors have built a truly whole reference resource on imperative soreness, which include heritage fabric, pathophysiology, and diagnostic and healing details. A scientific secret for a hundred years without powerful remedy, this booklet turns the concept that of incurability of principal soreness on its head supplying a rational method of treatment in response to a rational concept.
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Extra resources for Central Pain Syndrome: Pathophysiology, diagnosis and management
CPSP 8 yrs after stroke 38 Oliveira et al. (2002) Bowsher (2001) Kumral et al. 8% LMI 80% ? 5% of pts 1 pt with possible CPSP was eliminated from study because pain appeared 108 mos (9 yrs, 4 yrs in the text) after stroke 16 pts with bilateral thalamic infarction. CPSP in 1 pt 3 mos after the stroke LMI pts: onset of sensory symptoms immediate to 6 mos after the stroke. 9%). 1%) symptoms developed after 6 mos and in one case the time span between stroke and the onset of symptoms was unknown. 5 days) 6 stroke pts.
Cortical CP. Lesion sparing the thalamus confirmed by means of MRI or CT scans with reconstruction. Very delayed onset (2 yrs) in 1 pt Delayed onset (1 wk, 2 mos and 3 mos) of CP in 3/40 pts Thalamic stroke. Immediate pain development in 15/20 pts. Pain onset delayed until 10 yrs after the stroke in one case. Data in text and in tables not in agreement Series of 27 pts with the thalamic syndrome. 17/27 pts had their pain from the time of their initial stroke, while in 10 it developed after an interval of as long as 2 yrs, in 3 after a further stroke Thalamic syndrome, 30 pts.
6%) Subgroup of Bowsher (1996) pts 17 (68%) 63 (55%) Meta-analysis 9 (56%) Nasreddine and Saver (1997) Yamamoto et al. (1997) Paciaroni and Bogousslasky (1998) Bowsher et al. (1998) Kim and Choi-Kwon (1999) 45 (71%) LMI (retrospective analysis) 2 (100%) McGowan et al. (1997) Kumral et al. 28 À À À 3 (100%) Chung et al. 19 48 (43%) 63 (45%) 63 (57%) 75 (54%) CVA Personal series of 138/156 CP pts Bowsher (1996) 34 nr CPSP Lateral and medial medullary infarct Greenspan et al. (2004) Kameda et al. (2004) Kong et al.