What causes pain in middle cerebral artery (MCA) stroke?

Updated: Feb 20, 2018
  • Author: Daniel I Slater, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Answer

Pain is not unusual and results from a variety of etiologies. The most common is shoulder pain of the effected side and is seen in 70-84% of patients with hemiplegia. [28] Shoulder pain appears to be far more correlative with spasticity than subluxation. [29] The anatomy and management of subluxation is therefore briefly covered in a later section. Treatments for spasticity as described previously are therefore more challenging depending on related shoulder pain. The use of analgesics and spasticity medications again needs to be weighed carefully against possibly compromising patient function and cognition.


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