Patient demographics, clinical characteristics and treatments
Stroke type | Sex | Aged (years) | Lesion site | Type of pain | Treatment | Clinical trials | Reference |
Ischaemic (I) | 1 male | 60 | Dorsal thalamic region: pulvinar, sensory nuclei | Pronounced allodynia and burning paresthesia, sharp | Motor cortex stimulation (MCS) in the epidural brain | Visual Analogue Scale (VAS) | 50 |
I | 1 female | 32 | Right posteroinferior, thalamus (T), occipital cortex, parahippocampal | Acute onset of pain and paresthesia | Repetitive transcranial magnetic stimulation (TMS) | Repetitive TMS | 70 |
Haemorrhagic (H) | 1 female | 57 | T | Continuous, tingling and cold sensational | – | Diffusion tensor tractography | 71 |
H, I | 8 males 8 females | 48–73 | T, pons, insula in I, external capsule, lenticulocapsular | Burning, pricking, squeezing, aching, hypoesthesia, allodynia | Repetitive TMS | MCS | 12 |
H, I | 17 males 15 females | 57.7±8.2 | Cortex, T, basal ganglia, brainstem | Light touching painful, cold or thermal painful, slight pressure painful | – | Pain Detect Questionnaire, the Leeds Assessment of Neuropathic Symptoms and Signs, douleur neuropathique questionnaire-4 (DN-4) | 21 |
H, I | 12 males 2 females | 58.5±8.9 | T, pons, lateral medulla, posterior limb of the internal capsule, putamen | Persistent numbness and pain | – | TMS, contact heat evoked potentials, somatosensory evoked potentials, quantitative sensory testing | 20 |
H, I | 16 male 21 female | 58.9±12.1 | – | 30 mg duloxetine (once a day) | Use duloxetine | 72 | |
H, I | 39 patients | 59.4±11.9 | Cortical, subcortical, brain stem/cerebellum, | Tactile, mechanical and cold hypoesthesia | – | Short-form McGill pain questionnaire, brief pain inventory, DN-4, neuropathic pain symptoms inventory | 7 |
H, I, H/I | 4 males 4 females | 37–62 | T, basal ganglia, frontal lobe, internal capsule, occipital lobe | – | Peripheral nerve block | Block peripheral nerve | 19 |
H, I, H/I | 6 males 4 females | 41–60 | T, middle cerebral artery territory, medulla, brainstem, temporal stem, parietal white matter, basal ganglia | – | Bilateral deep brain stimulation (DBS) targeting ventral striatum/anterior limb of the internal capsule | DBS | 18 |
H, I, H/I | 109 male 54 female | 63.4±7.9 | T, putamen, pons, medulla | Moderate sensory disturbance, allodynia and hyperpathia | Spinal cord stimulation | VAS, Patient global impression of changes | 17 |
H/I | 82 patients | ≥18 | Unilateral brain lesion | – | Flexible-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 Index | 73 |
– | 17 patients | – | DBS or MCS | DBS, MCS | 74 | ||
5 males 4 females | 57–76 | Unilateral thalamic, putaminal, spinal cord | Compressing, lancinating, stinging, burning sensations or twitching | Electrical stimulation the ventral posterolateral nucleus | Stereotactic thalamic ventral posterolateral nucleus stimulation | 75 | |
– | 4 patients | – | DBS of internal capsule | VAS | 76 | ||
– | 42 males, 40 females | >50 | Use acetaminophen, heat and ice packs | Pain assessment survey | 77 | ||
– | 5 patients | – | DBS targeting ventral striatum/anterior limb of the internal | Functional MRI | 78 | ||
– | 1 female | 45 | Constant burning pain | Transcranial direct current stimulation | VAS, DN-4, Beck Depression Inventory | 79 | |
– | 23 patients | Contralesionally extensive ongoing pain at the lower extremity | Explicit sensory discrimination retraining | VAS | 11 | ||
1 male | 68 | Left hemisphere | Slowly progressive, intense | Directional DBS targeting the thalamic left ventrocaudal nucleus | DBS | 80 | |
– | 5 patients | 41–67 | Intermittent tingling, burning and lancinating sensations. | Stellate ganglion block | Numerical Rating Scale | 81 | |
22 patients | ver 19 | M1; C3, C4-Anode, over the contralateral supraorbital region-cathode | – | Transcranial direct current stimulation for 20 min, 5 times weekly, for 2 weeks | Brief pain inventory, Beck Depression Inventory, the patient’s quality of life, Euro Quality of Life-5 Dimensions | 82 |
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.