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Dejerine–Roussy syndrome or thalamic pain syndrome is a condition developed after a thalamic stroke, a stroke causing damage to the thalamus. [1] Ischemic strokes and hemorrhagic strokes can cause lesioning in the thalamus.
One study found that up to 8% of people who have had a stroke will develop central post-stroke pain, and that the pain will be moderate to severe in 5% of those affected. [78] The condition was formerly called " thalamic pain ", because of the high incidence among those with damage to the thalamus or thalamic nuclei .
Occlusions of the branches of the PCA that supply the thalamus can result in central post-stroke pain and lesions to the subthalamic branches can produce “a wide variety of deficits”. [1] Left posterior cerebral artery syndrome presents alexia without agraphia; the lesion is in the splenium of the corpus callosum.
The history of pain management can be traced back to ancient times. Galen also suggested nerve tissue as the transferring route of pain to the brain through the invisible psychic pneuma. [ 78 ] The idea of origination of pain from the nerve itself, without any exciting pathology in other organs is presented by medieval medical scholars such as ...
In people with acute stroke and hemiparesis, the disorder is present in 10.4% of patients. [4] Rehabilitation may take longer in patients that display pusher behaviour. The Copenhagen Stroke Study found that patients that presented with ipsilateral pushing used 3.6 weeks more to reach the same functional outcome level on the Barthel Index, than did patients without ipsilateral pushing.
Cerebral infarction, also known as an ischemic stroke, is the pathologic process that results in an area of necrotic tissue in the brain (cerebral infarct). [1] In mid to high income countries, a stroke is the main reason for disability among people and the 2nd cause of death. [2]
Posterior circulation infarct (POCI) is a type of cerebral infarction affecting the posterior circulation supplying one side of the brain.. Posterior circulation stroke syndrome (POCS) refers to the symptoms of a patient who clinically appears to have had a posterior circulation infarct, but who has not yet had any diagnostic imaging (e.g. CT Scan) to confirm the diagnosis.
Thalamotomy is a complex procedure performed by specialist neurosurgeons. It is mostly indicated in cases of stroke, damage to third ventricle of brain, brain hemorrhage, accidents leading to head injury, oedema around thalamus, subdural hemorrhage, and cerebrovascular accident. There is also some evidence in thalamocortical dysrhythmia.
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