How can pain be prevented following 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

The most important preventive treatments are appropriate range of motion and desensitization. [28] However, if these continue to become less tolerable and effective, further diagnostic workup, including triple-phase bone scanning, may be needed.

Treatments, aside from the therapy described, include high-dose steroids, with a relatively slow taper over 2 weeks. A successful, pain-relieving, stellate ganglion block is therapeutic and is considered the criterion standard in the diagnosis of complex regional pain syndrome type I. Other medications used for this pain include gabapentin, tricyclic antidepressants, NSAIDS, carbamazepine, and nifedipine. [26]


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