Treatment of central post-stroke pain with oral ketamine

被引:36
|
作者
Vick, PG
Lamer, TJ
机构
[1] Univ N Carolina, Dept Anesthesiol, Chapel Hill, NC 27599 USA
[2] Mayo Pain Management Ctr, Dept Anesthesiol, Jacksonville, FL 32224 USA
关键词
central post-stroke pain; oral ketamine; N-methyl D-aspartate receptors; neuropathic pain; analgesia;
D O I
10.1016/S0304-3959(00)00488-7
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
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.
引用
收藏
页码:311 / 313
页数:3
相关论文
共 50 条
  • [21] Behavioural evidence for vestibular stimulation as a treatment for central post-stroke pain
    McGeoch, P. D.
    Williams, L. E.
    Lee, R. R.
    Ramachandran, V. S.
    JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2008, 79 (11): : 1298 - 1301
  • [22] CENTRAL POST-STROKE PAIN - NEUROLOGICAL SYMPTOMS AND PAIN CHARACTERISTICS
    LEIJON, G
    BOIVIE, J
    JOHANSSON, I
    PAIN, 1989, 36 (01) : 13 - 25
  • [23] The complexities of pain after stroke A review with a focus on central post-stroke pain
    Seifert, C. L.
    Chakravarty, M. Mallar
    Sprenger, T.
    PANMINERVA MEDICA, 2013, 55 (01) : 1 - 10
  • [24] Drug challenge test and drip infusion of ketamine for post-stroke pain
    Yamamoto, Takamitsu
    Katayama, Yoichi
    Obuchi, Toshiki
    Kano, Toshikazu
    Kobayashi, Kazutaka
    Oshima, Hideki
    Fukaya, Chikashi
    PAIN RESEARCH, 2009, 24 (04) : 191 - 199
  • [25] Spinal cord stimulation and thalamic surgery for the treatment of central post-stroke pain
    Hirato, Masafumi
    Watanabe, Katsushige
    Yoshimoto, Yuhei
    PAIN RESEARCH, 2011, 26 (03) : 145 - 155
  • [26] Challenges in Managing A Patient With Central Post-Stroke Pain
    Salim, Mazatulfazura S. F.
    Hanafi, Muhammad Hafiz
    Chin, Tan Yew
    Kassim, Nur Karyatee
    Mazlan, Mazlina
    BANGLADESH JOURNAL OF MEDICAL SCIENCE, 2019, 18 (02): : 411 - 413
  • [27] ABNORMALITIES IN SENSIBILITY ACCOMPANYING CENTRAL POST-STROKE PAIN
    BOIVIE, J
    LEIJON, G
    JOHANSSON, I
    ACTA NEUROLOGICA SCANDINAVICA, 1988, 77 : 102 - 102
  • [28] Antiepileptic drugs for central post-stroke pain management
    Siniscalchi, A.
    Gallelli, L.
    De Sarro, G.
    Malferrari, G.
    Santangelo, E.
    PHARMACOLOGICAL RESEARCH, 2012, 65 (02) : 171 - 175
  • [29] A New Mouse Model for Central Post-Stroke Pain
    Gritsch, Simon
    Kuner, Rohini
    Vardeh, Daniel
    ANNALS OF NEUROLOGY, 2012, 72 : S14 - S14
  • [30] The Efficacy of Gabapentin in Patients with Central Post-stroke Pain
    Hesami, Omid
    Gharagozli, Kourosh
    Beladimoghadam, Nahid
    Assarzadegan, Farhad
    Mansouri, Behnam
    Sistanizad, Mohammad
    IRANIAN JOURNAL OF PHARMACEUTICAL RESEARCH, 2015, 14 : 95 - 101