Download Central Pain Syndrome: Pathophysiology, diagnosis and by Sergio Canavero PDF

By Sergio Canavero

Important soreness Syndrome is a neurological as a result of harm particularly to the important fearful method - mind, brainstem, or spinal wire. this is often the single updated booklet on hand at the medical features (including prognosis and remedy) of CPS administration. The authors have constructed a truly entire reference resource on significant ache, including history fabric, pathophysiology, and diagnostic and healing info. A clinical secret for a hundred years with out potent treatment, this publication turns the concept that of incurability of principal ache on its head offering a rational method of treatment in keeping with a rational conception.

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Extra info for Central Pain Syndrome: Pathophysiology, diagnosis and management

Sample text

No prospective study exists, although clinical experience would suggest that CP in such cases is indeed rare. CP arises only after disruptive or compressive lesions along the spinothalamoparietal axis; contusions mainly involve basal frontal and temporal areas and hematomas 27 28 Central Pain Syndrome (extradural and subdural) rarely impinge on the parietal lobe to such extent to disrupt it. Moreover, half of patients with severe head injury go on to die within days or weeks of trauma or develop severe disability.

After lenticulocapsular stroke, intensity tends to be maximal in the leg rather than in the arm or face (Kim 2003). Generally speaking, CP tends to be worst in areas of most severe initial sensory loss, while its evoked components are usually worst in areas of retained or only mildly impaired sensibility. Globally, most patients consider the pain to be severe or even excruciating, although some of them rate the pain intensity rather low on rating scales. However, even when low or moderate, CP can be assessed as severe because it causes much suffering and burden due to its irritating character and constant presence.

1991) Kameyama (1976) Graff-Radford et al. (1985) Kawahara et al. (1986) Bogousslavsky et al. (1988) Mauguie`re and Desmet (1988) Leijon et al. (1989) and Boivie et al. 5%) 20 (74%) 1 (33%) 1 (25%) 4 (36%) CPSP Stroke (same goup of CPSP pts for 2 different studies. Authors’ statement: male dominance could not be explained by a difference in the incidence of stroke between men and women because stroke affected more women than men in Sweden. However, strong bias likely, given the selection criteria Cortical pain (MRI or CT confirmed lesion).

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