Dentate nucleus as a suitable target for stereotactic thermolesion in central poststroke pain: case report

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023884%3A_____%2F20%3A00008599" target="_blank" >RIV/00023884:_____/20:00008599 - isvavai.cz</a>

Výsledek na webu

<a href="https://pubmed.ncbi.nlm.nih.gov/32353666/" target="_blank" >https://pubmed.ncbi.nlm.nih.gov/32353666/</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.clineuro.2020.105850" target="_blank" >10.1016/j.clineuro.2020.105850</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Dentate nucleus as a suitable target for stereotactic thermolesion in central poststroke pain: case report

Popis výsledku v původním jazyce

Background: Central poststroke pain is a complex poststroke syndrome with a severe clinical presentation. Treatment of this type of pain is very challenging. Thermolesion of the dentate nucleus leads to spastic pain relief and could be a suitable method of treatment in these patients. Case presentation: We present a 53 year-old male who suffered from central poststroke pain with intractable pain on the right side of his body after an ischaemic stroke in the internal capsule. The patient initially underwent medial thalamotomy for intractable pain but without significant relief. Based on the character of the central poststroke pain, which very often included spastic components and the influence of the dentate nucleus on spasticity, we performed a second ablative procedure in the dentate nucleus ipsilateral to the side of the pain. The patient reported relief from spasm of the right hand, and swallowing improved immediately after the procedure. One month after the stereotactic treatment, the spastic pain had totally disappeared. The pain was significantly reduced. Conclusions: We demonstrate that thermolesion of the ipsilateral dentate nucleus is an effective treatment for central poststroke pain with spasticity. This experience may contribute to discussions on ablative procedures in functional stereotaxy.

Název v anglickém jazyce

Dentate nucleus as a suitable target for stereotactic thermolesion in central poststroke pain: case report

Popis výsledku anglicky

Background: Central poststroke pain is a complex poststroke syndrome with a severe clinical presentation. Treatment of this type of pain is very challenging. Thermolesion of the dentate nucleus leads to spastic pain relief and could be a suitable method of treatment in these patients. Case presentation: We present a 53 year-old male who suffered from central poststroke pain with intractable pain on the right side of his body after an ischaemic stroke in the internal capsule. The patient initially underwent medial thalamotomy for intractable pain but without significant relief. Based on the character of the central poststroke pain, which very often included spastic components and the influence of the dentate nucleus on spasticity, we performed a second ablative procedure in the dentate nucleus ipsilateral to the side of the pain. The patient reported relief from spasm of the right hand, and swallowing improved immediately after the procedure. One month after the stereotactic treatment, the spastic pain had totally disappeared. The pain was significantly reduced. Conclusions: We demonstrate that thermolesion of the ipsilateral dentate nucleus is an effective treatment for central poststroke pain with spasticity. This experience may contribute to discussions on ablative procedures in functional stereotaxy.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30103 - Neurosciences (including psychophysiology)

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2020

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Clinical Neurology and Neurosurgery

ISSN

0303-8467

e-ISSN

—

Svazek periodika

195

Číslo periodika v rámci svazku

August

Stát vydavatele periodika

NL - Nizozemsko

Počet stran výsledku

3

Strana od-do

—

Kód UT WoS článku

000601363500009

EID výsledku v databázi Scopus

2-s2.0-85083768464