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Pain after stroke: a neglected issue

Correspondence to:
Correspondence to:
Dr Hilde Hénon
Department of Neurology and Stroke Unit, Hôpital Roger Salengro, Lille University Hospital, 59037 Lille Cedex, France;hhenon@chru-lille.fr

Keywords: cerebrovascular disease; pain; prognosis; stroke

The first 150 words of the full text of this article appear below.

Pain is a frequent but poorly studied long term consequence of stroke. In this issue of the Journal of Neurology, Neurosurgery and Psychiatry, Jönsson et al (see pages 590– 5) have prospectively evaluated the prevalence and intensity of pain in 297 stroke patients from the population based Lund Stroke Register.¹ They found that 4 months after stroke onset, one third of patients were complaining of moderate to severe pain, and that 1 year later, one fifth were still experiencing moderate to severe pain and that the intensity of the severe pain had increased.

This study is of importance as it underlines that pain is frequent after stroke and is multifactorial in origin: pre-stroke pain, post-stroke functional recovery, and mood disorders all contribute to pain status. However, vascular risk factors and stroke characteristics, besides stroke severity, do not seem to play an important role.

At 4 . . . [Full text of this article]

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Prevalence and intensity of pain after stroke: a population based study focusing on patients’ perspectives

A-C Jönsson, I Lindgren, B Hallström, B Norrving, and A Lindgren
J. Neurol. Neurosurg. Psychiatry 2006 77: 590-595. [Abstract] [Full Text] [PDF]