title: Disappearance of haemorrhagic stroke-induced thalamic (central) pain following a further (contralateral ischaemic) stroke.
abstract: We report the case of a patient who, following a right thalamic haemorrhage, developed thalamic syndrome characterised by burning pain and hyperalgesia in the left side of the body. Three years later, following a further (contralateral ischaemic) stroke, she reported the complete disappearance of the pain and hyperalgesia. To our knowledge, this is the first described case of disappearance of thalamic syndrome following a second stroke, different in nature from and contralateral to the first. Various hypotheses, based on the nervous tracts and nuclei involved in pain processing, may be advanced to explain this occurrence.
authors.affiliation: Institute of Neuropsychiatry, University of Palermo, Italy. odaniele@neuro.unipa.it
authors.forename: Ornella
authors.initials: O
authors.lastname: Daniele
authors.forename: Brigida
authors.initials: B
authors.lastname: Fierro
authors.forename: Filippo
authors.initials: F
authors.lastname: Brighina
authors.forename: Adriana
authors.initials: A
authors.lastname: Magaudda
authors.forename: Eraldo
authors.initials: E
authors.lastname: Natalè
mesh_terms: D000368:Aged; D002545:Brain Ischemia / Q000150:complications*; D005260:Female; D005625:Frontal Lobe / Q000503:physiopathology; D007839:Functional Laterality; D006801:Humans; D010146:Pain / Q000209:etiology*; D017288:Pain Threshold; D010296:Parietal Lobe / Q000503:physiopathology; D012075:Remission, Spontaneous; D020521:Stroke / Q000150:complications* / Q000503:physiopathology; D013577:Syndrome; D013786:Thalamic Diseases / Q000209:etiology* / Q000503:physiopathology