Post-stroke pain

doi:10.26565/2312-5675-2019-11-06

Тетяна Миколаївна Муратова Odessa National Medical University https://orcid.org/0000-0001-9443-590X
Деніс Миколайович Храмцов Odessa National Medical University https://orcid.org/0000-0002-5289-5542
Олександр Миколайович Стоянов Odessa National Medical University https://orcid.org/0000-0002-3375-0452
Юрій Миколайович Ворохта Odessa National Medical University https://orcid.org/0000-0002-8390-4261
Ірина Вікторівна Добуш Odessa National Medical University https://orcid.org/0000-0002-5886-5870
Марія Сергіївна Вікаренко Odessa National Medical University https://orcid.org/0000-0002-8238-6802
Галина Геннадіївна Козлова Odessa National Medical University https://orcid.org/0000-0002-0796-2574
Вероніка Андріївна Назарян Odessa National Medical University https://orcid.org/0000-0002-6342-1684
Сергій Анатоліович Котов Odessa National Medical University https://orcid.org/0000-0001-9608-8008

DOI: https://doi.org/10.26565/2312-5675-2019-11-06

Keywords: acute cerebral circulation disorder, post-stroke pain, diagnosis, treatmen, clinical epidemiology

Abstract

The purpose of the study was to assess the prevalence of post-stroke pain and the effectiveness of its diagnosis and treatment in the conditions of university clinic. It was shown that the frequency of post-stroke pain syndrome is 55.8% of the total number of patients with PPS. The pain in the shoulder joint of the paretic limb is most often recorded, due to the subluxation of the humerus, which is recorded in 28.3% of patients with PPS during hospital stay and 20.3% in the first weeks after discharge. The frequency of PPS of the central genesis is 31.1%. Syndrome of complex regional pain occurs in 4.4% of patients, pain associated with spasticity – in 13.0%. The use of visual analog scales makes it possible to diagnose post-stroke pain syndrome in patients who are conscious and have no significant cognitive deficits. With the application of complex treatment of pain syndrome, a satisfactory clinical effect is achieved in all patients, and the best response to treatment was in patients with pain in the shoulder joint of the paretic limb due to the subluxation of the head of the humerus.

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