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Post-Stroke Management: Emotional Disturbances and Pain

  • Jong S. KimEmail author
Chapter
Part of the Stroke Revisited book series (STROREV)

Abstract

Patients with stroke often have sequelae such as motor dysfunction, ataxia, visual field defect, etc. However, there still are disturbances that are not apparent and frequently unnoticed by physicians. They include cognitive dysfunction, mood and emotional disturbances, and pain or paresthesia. In this chapter, post-stroke emotional disturbances and pain are described. Post-stroke mood and emotional disturbances are frequent and diverse in their manifestations and can be categorized as post-stroke depression, post-stroke emotional incontinence, post-stroke anger proneness, and post-stroke fatigue. These symptoms are distressing for both the patients and their caregivers and negatively influence the patient’s quality of life. Post-stroke pain includes nociceptive pain, central pain, and headache and is equally distressing for patients. Fortunately, these mood/emotional disturbances and pain syndromes can be treated or prevented by various methods, including pharmacological therapy. To administer the appropriate therapy, we have to understand the phenomenology and the similarities and differences in the pathophysiological mechanisms associated with these phenomena.

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Copyright information

© Springer Science+Business Media Singapore 2017

Authors and Affiliations

  1. 1.Stroke Center and Department of NeurologyUniversity of Ulsan College of Medicine, Asan Medical CenterSeoulSouth Korea

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