Author/Editor		Pražnikar, Aleš; Globokar, Daniel; Kuralt, Tanja; Goljar, Nika
Title		Centralna bolečina pri bolnikih po preboleli možganski kapi
Type		članek
Source		In: Goljar N, Štefančič M, editors. Novosti v rehabilitaciji po možganski kapi. Zbornik predavanj 15. dnevi rehabilitacijske medicine; 2004 mar 26-27; Ljubljana. Ljubljana: Inštitut Republike Slovenije za rehabilitacijo,
Publication year		2004
Volume		str. 231-42
Language		slo
Abstract		Central post-stroke pain (CPSP) can be the leading symptom or patient's main complaint after stroke. CPSP is a chronic pain symptom characterized by: a) it evolves after the stroke, b) the pain is located in the stroke-affected part of the body, c) neurological status reveals sensory deficits in the painful segment. Chronic pain syndromes influence patient's ability to successfully participate in the rehabilitation programs as well as diminish his or her quality of live. There is lack of data regarding incidence of chronic pain syndromes in rehabilitation settings. So, we asked ourselves what is the prevalence of chronic pain syndromes in stroke in-patients in the rehabilitation hospital, especially what is the prevalence of CPSP. Further, we asked how we treated patients with CPSP in our institution. For that purpose, we analyzed all the files of in patients with stroke that had completed rehabilitation in Rehabilitation Institute, Republic of Slovenia, in 2003. We gathered data on gender, age, stroke characteristics, time from stroke, reports on pain, pain intensity and treatment of pain. 260 stroke patients completed the program, 60% males and 40% females, average age was 58,3 years. 72,7% of patients reported chronic pain, 63,1 % patients reported moderate pain intensity (VAS up to 6) and 9,7% strong pain (VAS 7 -10). The prevalent pain syndrome was the painful shoulder syndrome: in the group with moderate pain intensity 69,5% and in group with strong pain 60%. 10 patients met criteria for CPSP - 3,8%, 6 of them reported moderate intensity and 4 strong intensity of pain. Characteristics of group with CPSP were no different of the whole group of patients. The recommendation on treatment of CPSP were followed in the treatment of patients with CPSP in our unit using amytriptilin and gabapentin as first line agents. (Abstract truncated at 2000 characters).
Descriptors		CEREBRAL INFARCTION PAIN ANTIDEPRESSIVE AGENTS ANTICONVULSANTS