中风后患者的持续性面部疼痛：一项基于医院的队列研究；来自印度北部的经验
Persistent facial pain in post-stroke patients, a hospital-based cohort study; experience from North India.
作者信息
Dev Priya, Singh Akhilesh Kumar, Kumar Devesh, Cyriac Mareena, Singh Varun Kumar, Kumar Anand, Chaurasia Rameshwar Nath, Mishra Vijaya Nath, Joshi Deepika, Pathak Abhishek
机构信息
Department of Neurology, Institute of Medical Science, Banaras Hindu University, Varanasi 221005, Uttar Pradesh, India.
Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Institute of Medical Science, Banaras Hindu University, Varanasi 221005, Uttar Pradesh, India.
出版信息
Heliyon. 2024 Mar 26;10(7):e28557. doi: 10.1016/j.heliyon.2024.e28557. eCollection 2024 Apr 15.
BACKGROUND
Post-stroke pain is common after a stroke and might be underreported. We describe Persistent Facial Pain (PFP) developed in post-stroke patients.
METHOD
ology: This was a prospective hospital-based cohort study of stroke patients, and patients were followed up. Out of 415 stroke patients, 26 developed PFP.
RESULT
Out of all PFP patients, six patients had an ischemic stroke, and 20 had a hemorrhagic stroke. 57.7% of patients had hypertension, while 34.6 patients had diabetes. The stroke location was left-sided in 12 patients and right-sided in 14 patients. 46.15% of patients responded to venlafaxine, 30.77% responded to amitriptyline, and 23.08% responded to pregabalin.
CONCLUSION
Persistent facial pain is a pain syndrome that might be missed in patients post-stroke. It might be more common in hemorrhagic stroke patients than in ischemic stroke patients. It responds adequately to antidepressants. A high index of suspicion is required to diagnose and appropriately manage these patients.
背景
中风后疼痛在中风后很常见，可能未得到充分报告。我们描述了中风后患者出现的持续性面部疼痛（PFP）。
方法
这是一项基于医院的中风患者前瞻性队列研究，并对患者进行了随访。在415名中风患者中，有26名出现了PFP。
结果
在所有PFP患者中，6名患者为缺血性中风，20名患者为出血性中风。57.7%的患者患有高血压，34.6%的患者患有糖尿病。中风部位在左侧的有12名患者，在右侧的有14名患者。46.15%的患者对文拉法辛有反应，30.77%的患者对阿米替林有反应，23.08%的患者对普瑞巴林有反应。
结论
持续性面部疼痛是一种疼痛综合征，在中风后患者中可能被漏诊。它在出血性中风患者中可能比在缺血性中风患者中更常见。它对抗抑郁药有较好反应。诊断和妥善管理这些患者需要高度的怀疑指数。
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