Segatore M
St. Joseph's Hospital, Milwaukee, Wisconsin 53210-1688, USA.
J Neurosci Nurs. 1996 Feb;28(1):28-35. doi: 10.1097/01376517-199602000-00006.
Almost a century ago, two French neurologists described an unusual pain syndrome following stroke. This so-called "thalamic" pain of Dejerine-Roussy exists today, affecting approximately 30,000 survivors of stroke in the United States (US) alone. Lesions involving the neospinothalamocortical tract are thought to cause thalamic pain, but the exact pathogenesis is unclear. Pharmacotherapeutic and surgical approaches offer pain relief in selected patients. Although definitive relief of central post-stroke pain (CPSP) may not be achievable for all at this time, intelligent and informed examination of the full range of options offers every sufferer a real potential for relief and mastery of pain. It is hoped that information provided herein will foster "intelligent caring" and facilitate informed decision making by consumers and caregivers alike.
近一个世纪前，两位法国神经学家描述了中风后出现的一种不寻常的疼痛综合征。这种所谓的德热里纳 - 鲁西丘脑痛至今仍然存在，仅在美国就影响着约3万名中风幸存者。累及新脊髓丘脑皮质束的病变被认为会导致丘脑痛，但其确切发病机制尚不清楚。药物治疗和手术方法能为部分患者缓解疼痛。虽然目前并非所有中风后中枢性疼痛（CPSP）患者都能实现彻底缓解，但全面、明智地审视各种选择，能为每位患者带来缓解疼痛并掌控疼痛的切实可能。希望本文提供的信息能促进“明智护理”，并方便患者及其护理人员做出明智的决策。
