{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T02:07:25Z","timestamp":1792807645270,"version":"4.5.0"},"reference-count":122,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T00:00:00Z","timestamp":1649116800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Central post-stroke pain affects up to 12% of stroke survivors and is notoriously refractory to treatment. However, stroke patients often suffer from other types of pain of non-neuropathic nature (musculoskeletal, inflammatory, complex regional) and no head-to-head comparison of their respective clinical and somatosensory profiles has been performed so far. We compared 39 patients with definite central neuropathic post-stroke pain with two matched control groups: 32 patients with exclusively non-neuropathic pain developed after stroke and 31 stroke patients not complaining of pain. Patients underwent deep phenotyping via a comprehensive assessment including clinical exam, questionnaires and quantitative sensory testing to dissect central post-stroke pain from chronic pain in general and stroke. While central post-stroke pain was mostly located in the face and limbs, non-neuropathic pain was predominantly axial and located in neck, shoulders and knees (P\u2009&amp;lt;\u20090.05). Neuropathic Pain Symptom Inventory clusters burning (82.1%, n\u2009=\u200932, P\u2009&amp;lt;\u20090.001), tingling (66.7%, n\u2009=\u200926, P\u2009&amp;lt;\u20090.001) and evoked by cold (64.1%, n\u2009=\u200925, P\u2009&amp;lt;\u20090.001) occurred more frequently in central post-stroke pain. Hyperpathia, thermal and mechanical allodynia also occurred more commonly in this group (P\u2009&amp;lt;\u20090.001), which also presented higher levels of deafferentation (P\u2009&amp;lt;\u20090.012) with more asymmetric cold and warm detection thresholds compared with controls. In particular, cold hypoesthesia (considered when the threshold of the affected side was &amp;lt;41% of the contralateral threshold) odds ratio (OR) was 12 (95% CI: 3.8\u201341.6) for neuropathic pain. Additionally, cold detection threshold\/warm detection threshold ratio correlated with the presence of neuropathic pain (\u03c1\u2009=\u2009\u22120.4, P\u2009&amp;lt;\u20090.001). Correlations were found between specific neuropathic pain symptom clusters and quantitative sensory testing: paroxysmal pain with cold (\u03c1\u2009=\u2009\u22120.4; P\u2009=\u20090.008) and heat pain thresholds (\u03c1\u2009=\u20090.5; P\u2009=\u20090.003), burning pain with mechanical detection (\u03c1\u2009=\u2009\u22120.4; P\u2009=\u20090.015) and mechanical pain thresholds (\u03c1\u2009=\u2009\u22120.4, P\u2009&amp;lt;\u20090.013), evoked pain with mechanical pain threshold (\u03c1\u2009=\u2009\u22120.3; P\u2009=\u20090.047). Logistic regression showed that the combination of cold hypoesthesia on quantitative sensory testing, the Neuropathic Pain Symptom Inventory, and the allodynia intensity on bedside examination explained 77% of the occurrence of neuropathic pain. These findings provide insights into the clinical-psychophysics relationships in central post-stroke pain and may assist more precise distinction of neuropathic from non-neuropathic post-stroke pain in clinical practice and in future trials.<\/jats:p>","DOI":"10.1093\/braincomms\/fcac090","type":"journal-article","created":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T13:18:16Z","timestamp":1649164696000},"source":"Crossref","is-referenced-by-count":30,"title":["Dissecting central post-stroke pain: a controlled symptom-psychophysical characterization"],"prefix":"10.1093","volume":"4","author":[{"given":"Luciana Mendon\u00e7a","family":"Barbosa","sequence":"first","affiliation":[{"name":"Pain Center, Discipline of Neurosurgery HC-FMUSP, LIM-62, University of S\u00e3o Paulo , S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valqu\u00edria Aparecida","family":"da Silva","sequence":"additional","affiliation":[{"name":"Pain Center, Discipline of Neurosurgery HC-FMUSP, LIM-62, University of S\u00e3o Paulo , S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ant\u00f4nia Lilian","family":"de Lima Rodrigues","sequence":"additional","affiliation":[{"name":"Pain Center, Discipline of Neurosurgery HC-FMUSP, LIM-62, University of S\u00e3o Paulo , S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego Toledo Reis","family":"Mendes Fernandes","sequence":"additional","affiliation":[{"name":"Pain Center, Discipline of Neurosurgery HC-FMUSP, LIM-62, University of S\u00e3o Paulo , S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rog\u00e9rio Adas Ayres","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Pain Center, Discipline of Neurosurgery HC-FMUSP, LIM-62, University of S\u00e3o Paulo , S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Galhardoni","sequence":"additional","affiliation":[{"name":"Pain Center, Discipline of Neurosurgery HC-FMUSP, LIM-62, University of S\u00e3o Paulo , S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin Tchia","family":"Yeng","sequence":"additional","affiliation":[{"name":"Pain Center, Discipline of Neurosurgery HC-FMUSP, LIM-62, University of S\u00e3o Paulo , S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jefferson Rosi","family":"Junior","sequence":"additional","affiliation":[{"name":"Pain Center, Discipline of Neurosurgery HC-FMUSP, LIM-62, University of S\u00e3o Paulo , S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana Bastos","family":"Conforto","sequence":"additional","affiliation":[{"name":"Department of Neurology, LIM-62, University of S\u00e3o Paulo , 05403-900 S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leandro Tavares","family":"Lucato","sequence":"additional","affiliation":[{"name":"Department of Radiology, LIM-44, University of S\u00e3o Paulo , 05403-900 S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo Delboni","family":"Lemos","sequence":"additional","affiliation":[{"name":"Department of Radiology, LIM-44, University of S\u00e3o Paulo , 05403-900 S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Peyron","sequence":"additional","affiliation":[{"name":"NeuroPain Team, Lyon Neuroscience Research Center (CRNL), Inserm U1028, CNRS UMR5292, UCBL1, UJM , F-6900 Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Garcia-Larrea","sequence":"additional","affiliation":[{"name":"NeuroPain Team, Lyon Neuroscience Research Center (CRNL), Inserm U1028, CNRS UMR5292, UCBL1, UJM , F-6900 Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoel Jacobsen","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Pain Center, Discipline of Neurosurgery HC-FMUSP, LIM-62, University of S\u00e3o Paulo , S\u00e3o Paulo, Brazil"},{"name":"Department of Neurology, LIM-62, University of S\u00e3o Paulo , 05403-900 S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3411-632X","authenticated-orcid":false,"given":"Daniel","family":"Ciampi de Andrade","sequence":"additional","affiliation":[{"name":"Pain Center, Discipline of Neurosurgery HC-FMUSP, LIM-62, University of S\u00e3o Paulo , S\u00e3o Paulo, Brazil"},{"name":"Center for Neuroplasticity and Pain, Department of Health Sciences and Technology, Faculty of Medicine, Aalborg University , DK-9220 Aalborg, 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