PAIN AFTER STROKE (CLINICAL CASE)
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Keywords

post-stroke pain syndromes, ischemic stroke, risk factors, medical rehabilitation

Abstract

Pain after a stroke is a common clinical problem that is insufficiently diagnosed and treated, which is due to differences in approaches to solving the problem: there are different definitions of the type of pain, research designs, cohorts of patients examined and, often, neglect of active patient questioning in connection with this complaint. This article describes the most common pain syndromes, including central post-stroke pain, post-stroke shoulder pain, complex regional pain syndrome and pain associated with spasticity. The frequency of occurrence of various types of post-stroke pain, their clinical manifestations and risk factors for development are presented. A clinical example is presented that reflects the problem — post-stroke hemiplegic shoulder pain is often found in practice, persists over time and requires diagnosis at each hospitalization in the rehabilitation department with the selection of individual treatment depending on the specific clinical situation.

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