Table 1

Patient demographics, clinical characteristics and treatments

Stroke typeSexAged
(years)
Lesion siteType of painTreatmentClinical trialsReference
Ischaemic (I)1 male60Dorsal thalamic region: pulvinar, sensory nucleiPronounced allodynia and burning paresthesia, sharpMotor cortex stimulation (MCS) in the epidural brainVisual Analogue Scale (VAS)50
I1 female32Right posteroinferior, thalamus (T), occipital cortex, parahippocampalAcute onset of pain and paresthesiaRepetitive transcranial magnetic stimulation (TMS)Repetitive TMS70
Haemorrhagic (H)1 female57TContinuous, tingling and cold sensationalDiffusion tensor tractography71
H, I8 males
8 females
48–73T, pons, insula in I, external capsule, lenticulocapsularBurning, pricking, squeezing, aching, hypoesthesia, allodyniaRepetitive TMSMCS12
H, I17 males
15 females
57.7±8.2Cortex, T, basal ganglia, brainstemLight touching painful, cold or thermal painful, slight pressure painfulPain Detect Questionnaire, the Leeds Assessment of Neuropathic Symptoms and Signs, douleur neuropathique questionnaire-4 (DN-4)21
H, I12 males
2 females
58.5±8.9T, pons, lateral medulla, posterior limb of the internal capsule, putamenPersistent numbness and painTMS, contact heat evoked potentials, somatosensory evoked potentials, quantitative sensory testing20
H, I16 male
21 female
58.9±12.130 mg duloxetine (once a day)Use duloxetine72
H, I39 patients59.4±11.9Cortical, subcortical, brain stem/cerebellum,Tactile, mechanical and cold hypoesthesiaShort-form McGill pain questionnaire, brief pain inventory, DN-4, neuropathic pain symptoms inventory7
H, I, H/I4 males
4 females
37–62T, basal ganglia, frontal lobe, internal capsule, occipital lobePeripheral nerve blockBlock peripheral nerve19
H, I, H/I6 males
4 females
41–60T, middle cerebral artery territory, medulla, brainstem, temporal stem, parietal white matter, basal gangliaBilateral deep brain stimulation (DBS) targeting ventral striatum/anterior limb of the internal capsuleDBS18
H, I, H/I109 male 54 female63.4±7.9T, putamen, pons, medullaModerate sensory disturbance, allodynia and hyperpathiaSpinal cord stimulationVAS, Patient global impression of changes17
H/I82 patients≥18Unilateral brain lesionFlexible-dose placebo (1–2 tablets a day) or (1–2 tablets of 30 mg/day)Short-form McGill Pain Questionnaire-2, Numerical Rating Scale, Pain Disability Index73
17 patientsDBS or MCSDBS, MCS74
5 males
4 females
57–76Unilateral thalamic, putaminal, spinal cordCompressing, lancinating,
stinging, burning sensations or twitching
Electrical stimulation the ventral posterolateral nucleusStereotactic thalamic ventral posterolateral nucleus stimulation75
4 patientsDBS of internal capsuleVAS76
42 males, 40 females>50Use acetaminophen, heat and ice packsPain assessment survey77
5 patientsDBS targeting ventral striatum/anterior limb of the internalFunctional MRI78
1 female45Constant burning painTranscranial direct current stimulationVAS, DN-4, Beck Depression Inventory79
23 patientsContralesionally extensive ongoing pain at the lower extremityExplicit sensory discrimination retrainingVAS11
1 male68Left hemisphereSlowly progressive, intenseDirectional DBS targeting the thalamic left ventrocaudal nucleusDBS80
5 patients41–67Intermittent tingling, burning and lancinating sensations.Stellate ganglion blockNumerical Rating Scale81
22 patientsver 19M1; C3, C4-Anode, over the contralateral supraorbital region-cathodeTranscranial direct current stimulation for 20 min, 5 times weekly, for 2 weeksBrief pain inventory, Beck Depression Inventory, the patient’s quality of life, Euro Quality of Life-5 Dimensions82
  • DBS, Deep brain stimulation; DN-4, Douleur neuropathique questionnaire-4; H, Hemorrhagic; I, Ischemic; MCS, Motor cortex stimulation; T, thalamus; TMS, transcranial magnetic stimulation; VAS, Visual analogue scale.