Persistent facial pain in post-stroke patients, a hospital-based cohort study; experience from North India

Background: Post-stroke pain is common after a stroke and might be underreported. We describe Persistent Facial Pain (PFP) developed in post-stroke patients. Method: ology: This was a prospective hospital-based cohort study of stroke patients, and patients were followed up. Out of 415 stroke patient...

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Bibliographic Details
Main Authors: Priya Dev, Akhilesh Kumar Singh, Devesh Kumar, Mareena Cyriac, Varun Kumar Singh, Anand Kumar, Rameshwar Nath Chaurasia, Vijaya Nath Mishra, Deepika Joshi, Abhishek Pathak
Format: Article
Language:English
Published: Elsevier 2024-04-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024045882
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Summary:Background: Post-stroke pain is common after a stroke and might be underreported. We describe Persistent Facial Pain (PFP) developed in post-stroke patients. Method: ology: This was a prospective hospital-based cohort study of stroke patients, and patients were followed up. Out of 415 stroke patients, 26 developed PFP. Result: Out of all PFP patients, six patients had an ischemic stroke, and 20 had a hemorrhagic stroke. 57.7% of patients had hypertension, while 34.6 patients had diabetes. The stroke location was left-sided in 12 patients and right-sided in 14 patients. 46.15% of patients responded to venlafaxine, 30.77% responded to amitriptyline, and 23.08% responded to pregabalin. Conclusion: Persistent facial pain is a pain syndrome that might be missed in patients post-stroke. It might be more common in hemorrhagic stroke patients than in ischemic stroke patients. It responds adequately to antidepressants. A high index of suspicion is required to diagnose and appropriately manage these patients.
ISSN:2405-8440