Case report of 68 year old female with central post-stroke pain successfully treated with oral ketamine. The patients pain was refractory to conventional pain treatments and she had persistent right hemi-body neuropathic pain with allodynia and hyperalgesia. An intravenous ketamine trial. followed by oral ketamine with titration to 50mg three times a day was beneficial in decreasing allodynia and hyperalgesia, as well as improving functional capabilities. Known side effects including dysphoria, hallucinations, and paranoid feelings were attenuated with benzodiazepines. (C) 2001 Elsevier Science Ireland Ltd All rights reserved.
机构:
Hop Bellevue, Ctr Stephanois Douleur, F-42055 St Etienne 02, France
INSERM 879, St Etienne, France
Hop Bellevue, Serv Neurol, F-42055 St Etienne 02, FranceHop Bellevue, Ctr Stephanois Douleur, F-42055 St Etienne 02, France
Demasles, S.
Peyron, R.
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Hop Bellevue, Ctr Stephanois Douleur, F-42055 St Etienne 02, France
INSERM 879, St Etienne, France
Hop Bellevue, Serv Neurol, F-42055 St Etienne 02, FranceHop Bellevue, Ctr Stephanois Douleur, F-42055 St Etienne 02, France
Peyron, R.
Larrea, L. Garcia
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INSERM 879, St Etienne, FranceHop Bellevue, Ctr Stephanois Douleur, F-42055 St Etienne 02, France
Larrea, L. Garcia
Laurent, B.
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Hop Bellevue, Ctr Stephanois Douleur, F-42055 St Etienne 02, France
INSERM 879, St Etienne, France
Hop Bellevue, Serv Neurol, F-42055 St Etienne 02, FranceHop Bellevue, Ctr Stephanois Douleur, F-42055 St Etienne 02, France
机构:
Suny Downstate Med Ctr, 450 Clarkson Ave,MSC 1213, Brooklyn, NY 11203 USA
Stroke Ctr, 450 Clarkson Ave,MSC 1213, Brooklyn, NY 11203 USASuny Downstate Med Ctr, 450 Clarkson Ave,MSC 1213, Brooklyn, NY 11203 USA
Singer, Jonathan
Levine, Steven R.
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Suny Downstate Med Ctr, 450 Clarkson Ave,MSC 1213, Brooklyn, NY 11203 USA
Stroke Ctr, 450 Clarkson Ave,MSC 1213, Brooklyn, NY 11203 USASuny Downstate Med Ctr, 450 Clarkson Ave,MSC 1213, Brooklyn, NY 11203 USA