Lijec̆nic̆ki vjesnik
-
Central poststroke pain is a type of neuropathic pain which is caused by damage to the central nervous system after a stroke and which is localized to the territory of the neurological deficit which corresponds to the cerebrovascular lesion. Stroke is the commonest cause of central neuropathic pain. ⋯ According to international guidelines for the treatment of central poststroke pain, the first line therapy is tricyclic antidepressants (amytriptilin and nortriptilin) or antiepileptic drugs (lamotrigine, gabapentine, pregabaline, carbamazepine). The second line is tramadol, opioids and fluvoxamin.