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Case Report | Open Access
Poststroke Pain – but Multiple Pain Mechanisms
Vinjamuri Chari
1 and Eldon Tunks21Division of Physical Medicine and Rehabilitation, McMaster University, Regional Rehabilitation Centre, Hamilton Health Sciences, Hamilton, Ontario, Canada
2Department of Psychiatry, McMaster University, Regional Rehabilitation Centre, Hamilton Health Sciences, Hamilton, Ontario, Canada
Abstract
A 42-year-old man presented with acute left hemiplegia due to a right frontotemporal hemorrhagic stroke and left-sided pain. While the initial presentation suggested central poststroke pain, subsequent investigations also implicated heterotopic ossification of the left hip and amplification of previous low back pain by the new central pain. While heterotopic ossification has been commonly associated with brain injury, spinal cord injury or osseous injury, it is only rarely associated with stroke. Poststroke pain may be multifactorial, and discovering the pain mechanisms has important implications for treatment.
Copyright
Copyright © 2010 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
