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Specialty: Anesthesiology
Condition: Pain

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Total 172 results found since Jan 2013.

Pain tolerance after stroke: The Troms ø study
ConclusionsStroke survivors, with and without chronic pain, had lower cold pressor pain tolerance, with possible clinical implications for pain in this group.SignificanceWe found lower pain tolerance in participants with previous stroke compared to stroke-free participants of a large, population-based study. The association was present both in those with and without chronic pain. The results may warrant increased awareness by health professionals towards pain experienced by stroke patients in response to injuries, diseases and procedures.
Source: European Journal of Pain - May 12, 2023 Category: Anesthesiology Authors: Tonje Anita Melum, Anders P. Årnes, Hein Stigum, Audun Stubhaug, Ólöf Anna Steingrímsdóttir, Ellisiv B. Mathiesen, Christopher S. Nielsen Tags: ORIGINAL ARTICLE Source Type: research

Microglia in the Pathophysiology of Hemorrhagic Stroke and the Relationship Between Microglia and Pain After Stroke: A Narrative Review
AbstractStroke is a leading cause of death worldwide, and about a quarter of stroke patients are dead within 1 month. The prognosis is even worse for those with hemorrhagic stroke because the 1-month mortality approaches 50%. Besides, most patients who survive experience complications such as nausea, vomiting, and chronic pain. These adverse experiences, especially the existence of chronic pain, can lead to a decline in the patient ’s quality of life. In order to improve the treatment and prognosis of hemorrhagic stroke, there is an urgent need to understand its pathophysiological mechanism as well as the chronic pain it...
Source: Pain and Therapy - July 18, 2021 Category: Anesthesiology Source Type: research

Ischemic Stroke Management: Posthospitalization and Transition of Care
Am Fam Physician. 2023 Jul;108(1):70-77.ABSTRACTIschemic stroke is a major cause of morbidity and mortality worldwide. Ischemic stroke and transient ischemic attack exist on a continuum of the same disease process. Ischemic stroke is common, and more than 85% of stroke risk is attributed to modifiable risk factors. The initial management of acute stroke is usually performed in the emergency department and hospital settings. Family physicians have a key role in follow-up, ensuring that a complete diagnostic evaluation has been performed, addressing modifiable risk factors, facilitating rehabilitation, and managing chronic s...
Source: Pain Physician - July 13, 2023 Category: Anesthesiology Authors: Scott T Larson Brigit E Ray Jason Wilbur Source Type: research

Prescription Opioid Use and Risk of Coronary Heart Disease, Stroke, and Cardiovascular Death among Adults from a Prospective Cohort (REGARDS Study)
ConclusionFemale but not male POU were at higher risk of CHD and CVD death. POU was not associated with stroke in overall or sex‐stratified analyses.
Source: Pain Medicine - September 11, 2015 Category: Anesthesiology Authors: Yulia Khodneva, Paul Muntner, Stefan Kertesz, Brett Kissela, Monika M. Safford Tags: Original Research Article Source Type: research

Burst Motor Cortex Stimulation Evokes Sustained Suppression of Thalamic Stroke Pain: A Narrative Review and Single-Case Overview
AbstractChronic refractory central post-stroke pain (CPSP), one of the most disabling consequences of cerebral stroke, occurs in up to 10% of patients with CPSP. Because a considerable proportion of these patients with chronic pain remain resistant to pharmacological and behavioral therapies, adjunctive invasive and non-invasive brain stimulation therapies are needed. We performed a review of human studies applying burst and conventional motor cortex stimulation (burstMCS and cMCS, respectively) for chronic pain states, on the basis of data sources identified through searches of PubMed, MEDLINE/OVID, and SCOPUS, as well as...
Source: Pain and Therapy - December 16, 2020 Category: Anesthesiology Source Type: research

Post-stroke shoulder pain: Nociceptive or neuropathic?
Acute rehabilitation after stroke can be adversely affected by complications such as pain in the hemiplegic shoulder. The onset of hemiplegic shoulder pain (HSP) can compromise functional gains, and has been shown to contribute to longer term disability . The first systematic study of the incidence of post-stroke shoulder pain (PSSP) found that 40% of patients were affected during the 3–6months following survival of a stroke . In 25% of patients, pain occurred during the first two weeks after stroke . The prognosis at six months, however, appears to be reasonably good, with 80% of patients reporting improvement or comple...
Source: Pain - November 26, 2012 Category: Anesthesiology Authors: Anthony K.P. Jones, Christopher A. Brown Tags: Commentaries Source Type: research

Inability to self-report pain after a stroke: A population-based study
Summary: The inability to self-report pain after a stroke is less common than previously thought, and is associated with both aphasia and level of consciousness.Abstract: The frequency of not being able to self-report pain after a stroke has not been previously assessed in a population-based sample. We studied the epidemiology of this problem using a cohort of patients hospitalized after a stroke in Olmsted County, Minnesota, from June 1, 2008, to June 1, 2012. Overall, 52 of 388 (13.4%) individuals were unable to provide a meaningful response to either a Faces Pain Scale or Numerical Rating Scale on admission. Inability t...
Source: Pain - April 8, 2013 Category: Anesthesiology Authors: Jonathan H. Smith, Kari L. Bottemiller, Kelly D. Flemming, F. Michael Cutrer, Edythe A. Strand Tags: Research papers Source Type: research

Post-stroke complicated pain.
This study aimed to present our treatment approaches to the patients who develop central neuropathic pain, degenerative disk disease-related peripheral neuropathic pain and radicular nociceptive pain, and gonarthrosis-related nociceptive pain in the left leg following stroke. PMID: 25944139 [PubMed - in process]
Source: Agri Dergisi - December 12, 2015 Category: Anesthesiology Tags: Agri Source Type: research

From preoperative evaluation to stroke center: Management of postoperative acute ischemic stroke
This article reviews the perioperative management (covering diagnosis and treatment), prevention (covering surgery postponement, management with anticoagulant/antiplatelet and the growing interest in statins and beta-blockers) and intraoperative recommendations (covering anaesthetic techniques, ventilation strategies, transfusion and blood pressure management) specifically for the general surgical population. A summary of current treatments is enlightened by recently described evidence for the effectiveness of mechanical thrombectomy.
Source: Anaesthesia, Critical Care and Pain Medicine - May 31, 2016 Category: Anesthesiology Source Type: research

Eagle Syndrome: A Rare Cause of Stroke in a Young Patient
We report the case of a 26-year-old man who presented to the emergency department because he noticed that his right hand had become clumsy. He first noticed this symptom five days before his presentation, but he noticed that his symptom had improved significantly since it began. He reported that he had episodes of neck pain and pain around the ear. He visited the family physician clinic several times for this complaint and was diagnosed as having a temporomandibular joint disorder. Neurological examination revealed decreased muscle strength in the right upper limb with a power of 4/5 along with a sensory deficit. The coord...
Source: Pain Physician - February 15, 2022 Category: Anesthesiology Authors: Hussain A Alobaidi Ali A Alfaran Hawa H Algazwi Fatimah I Alkhater Hussain M Alshooalah Abdulrahman K Alanzi Ibrahim A Almindil Abdullah K Alqasim Aisha A Faqeeh Amani A Almutairi Ghaida H Alnaqa Najla H Alnaqa Renad M Alasmari Razan M Almashouf Faisal Al Source Type: research

Insula and sensory insular cortex and somatosensory control in patients with insular stroke
ConclusionOur data allow the conclusion that the posterior IC may represent the major region responsible for encoding warm and cold perception in the brain. To what extent focal IC lesions may also impair pain processing or induce post‐stroke pain has to be addressed in future studies including more patients.
Source: European Journal of Pain - March 30, 2014 Category: Anesthesiology Authors: B. Baier, P. Eulenburg, C. Geber, F. Rohde, R. Rolke, C. Maihöfner, F. Birklein, M. Dieterich Tags: Original Article Source Type: research

Blood Transfusions May Cut Risk of 'Silent' Stroke in Kids With Sickle Cell
Title: Blood Transfusions May Cut Risk of 'Silent' Stroke in Kids With Sickle CellCategory: Health NewsCreated: 8/20/2014 5:36:00 PMLast Editorial Review: 8/21/2014 12:00:00 AM
Source: MedicineNet Chronic Pain General - August 21, 2014 Category: Anesthesiology Source Type: news

FDA Strengthens Heart Attack, Stroke Warning for Popular Painkillers
Title: FDA Strengthens Heart Attack, Stroke Warning for Popular PainkillersCategory: Health NewsCreated: 7/10/2015 12:00:00 AMLast Editorial Review: 7/10/2015 12:00:00 AM
Source: MedicineNet Chronic Pain General - July 10, 2015 Category: Anesthesiology Source Type: news

Postoperative Pain, Acute Stroke, Hormone Therapy, Diet to Improve Cardiovascular Risk, Ovarian Cancer.
Authors: PMID: 31083885 [PubMed - in process]
Source: Pain Physician - May 14, 2019 Category: Anesthesiology Tags: Am Fam Physician Source Type: research