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Brachio-crural acute neurogenic pain of a hemisoma: can a NIHSS 0 stroke be disabling?

作者信息

Gruosso Francesco, Ferrari Valerio, Di Donna Martina, Ferrante Mario, Bagnato Maria Rosaria

机构信息

Neurologic Unit, Department of Systems Medicine, Tor Vergata University, Rome, 00133, Italy.

Neurologic Unit - "F. Spaziani" Hospital, Frosinone, Frosinone, 03100, Italy.

出版信息

Neurol Sci. 2025 May;46(5):2333-2335. doi: 10.1007/s10072-024-07983-x. Epub 2025 Jan 6.

DOI:10.1007/s10072-024-07983-x
PMID:39760819
Abstract
摘要

相似文献

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Brachio-crural acute neurogenic pain of a hemisoma: can a NIHSS 0 stroke be disabling?半身的臂-股急性神经源性疼痛：美国国立卫生研究院卒中量表评分为0的卒中会导致残疾吗？
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Creutzfeldt-Jakob disease versus anti-LGI1 limbic encephalitis in a patient with progressive cognitive dysfunction, psychiatric symptoms, involuntary facio-brachio-crural movement, and an abnormal electroencephalogram: a case report.一例伴有进行性认知功能障碍、精神症状、不自主面-臂-腿部运动及异常脑电图的克雅氏病与抗LGI1边缘叶脑炎的病例报告
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Preclusion of ischemic stroke patients from intravenous tissue plasminogen activator treatment for mild symptoms should not be based on low National Institutes of Health Stroke Scale Scores.对于症状轻微的缺血性脑卒中患者，不应因其美国国立卫生研究院卒中量表评分低而排除其接受静脉注射组织型纤溶酶原激活物治疗。
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Intravenous thrombolysis for mild stroke: NIHSS 3-5 Versus NIHSS 0-2.轻度卒中的静脉溶栓治疗：美国国立卫生研究院卒中量表（NIHSS）评分3 - 5分与0 - 2分的对比
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Factors associated with functional disability in patients with acute stroke excluded from alteplase administration due to minor non-disabling neurological deficits.因轻微非致残性神经功能缺损而被排除在阿替普酶治疗之外的急性中风患者中与功能残疾相关的因素。
Front Neurol. 2022 Dec 22;13:1062721. doi: 10.3389/fneur.2022.1062721. eCollection 2022.
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The use of alteplase, although safe, does not offer clear clinical advantages when mild stroke is non-disabling.对于非致残性轻度中风，使用阿替普酶虽然安全，但并无明显的临床优势。
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Effect of Alteplase vs Aspirin on Functional Outcome for Patients With Acute Ischemic Stroke and Minor Nondisabling Neurologic Deficits: The PRISMS Randomized Clinical Trial.急性缺血性脑卒中伴轻度非致残性神经功能缺损患者阿替普酶与阿司匹林治疗对功能结局的影响：PRISMS 随机临床试验。
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The types of neurological deficits might not justify withholding treatment in patients with low total National Institutes of Health Stroke Scale scores.在总国立卫生研究院卒中量表评分较低的患者中，神经功能缺损的类型可能不足以成为拒绝治疗的理由。
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Left Hemisphere Bias of NIH Stroke Scale Is Most Severe for Middle Cerebral Artery Strokes.美国国立卫生研究院卒中量表的左半球偏倚在大脑中动脉卒中中最为严重。
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本文引用的文献

1
Dual Antiplatelet Therapy vs Alteplase for Patients With Minor Nondisabling Acute Ischemic Stroke: The ARAMIS Randomized Clinical Trial.双联抗血小板治疗与阿替普酶治疗轻度非致残性急性缺血性脑卒中患者的随机临床试验（ARAMIS）
JAMA. 2023 Jun 27;329(24):2135-2144. doi: 10.1001/jama.2023.7827.
2
Atypical painful stroke presentations: A review.不典型性疼痛性脑卒中表现：综述。
Acta Neurol Scand. 2022 Nov;146(5):465-474. doi: 10.1111/ane.13666. Epub 2022 Jul 5.
3
Acute Ischemic Stroke With Mild Symptoms-To Thrombolyse or Not to Thrombolyse?
症状轻微的急性缺血性卒中——溶栓还是不溶栓？
Front Neurol. 2021 Nov 18;12:760813. doi: 10.3389/fneur.2021.760813. eCollection 2021.
4
Neuropathic Pain: From Mechanisms to Treatment.神经病理性疼痛：从机制到治疗。
Physiol Rev. 2021 Jan 1;101(1):259-301. doi: 10.1152/physrev.00045.2019. Epub 2020 Jun 25.
5
Pure sensory stroke due to brainstem lesion.脑干病变所致的纯感觉性卒中。
BMJ Case Rep. 2019 Aug 28;12(8):e230472. doi: 10.1136/bcr-2019-230472.
6
Effect of Alteplase vs Aspirin on Functional Outcome for Patients With Acute Ischemic Stroke and Minor Nondisabling Neurologic Deficits: The PRISMS Randomized Clinical Trial.急性缺血性脑卒中伴轻度非致残性神经功能缺损患者阿替普酶与阿司匹林治疗对功能结局的影响：PRISMS 随机临床试验。
JAMA. 2018 Jul 10;320(2):156-166. doi: 10.1001/jama.2018.8496.
7
Post stroke pain: identification, assessment, and therapy.中风后疼痛：识别、评估与治疗。
Cerebrovasc Dis. 2015;39(3-4):190-201. doi: 10.1159/000375397. Epub 2015 Mar 5.
8
Neurogenic pain and abnormal movements contralateral to an anterior parietal artery stroke.顶叶前动脉卒中对侧的神经源性疼痛和异常运动
Arch Neurol. 2003 Jul;60(7):1004-6. doi: 10.1001/archneur.60.7.1004.
9
Long-term pain conditions after a stroke.
J Rehabil Med. 2002 Jul;34(4):165-70. doi: 10.1080/16501970213237.