Thalamic Pain Misdiagnosed as Cervical Disc Herniation.
10.3344/kjp.2016.29.2.119
- Author:
Tae Ha LIM
1
;
Soo Il CHOI
;
Jee In YOO
;
Young Soon CHOI
;
Young Su LIM
;
Bo Hyun SANG
;
Yun Sic BANG
;
Young Uk KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Central post-stroke pain;
Cervical disc herniation;
Cramp-like abdominal pain;
Differential diagnosis;
Thalamic infarction;
Thalamic pain
- MeSH:
Abdominal Pain;
Arm;
Diagnosis;
Diagnosis, Differential;
Humans;
Infarction;
Pain Clinics;
Sensation
- From:The Korean Journal of Pain
2016;29(2):119-122
- CountryRepublic of Korea
- Language:English
-
Abstract:
Thalamic pain is a primary cause of central post-stroke pain (CPSP). Clinical symptoms vary depending on the location of the infarction and frequently accompany several pain symptoms. Therefore, correct diagnosis and proper examination are not easy. We report a case of CPSP due to a left acute thalamic infarction with central disc protrusion at C5-6. A 45-year-old-male patient experiencing a tingling sensation in his right arm was referred to our pain clinic under the diagnosis of cervical disc herniation. This patient also complained of right cramp-like abdominal pain. After further evaluations, he was diagnosed with an acute thalamic infarction. Therefore detailed history taking should be performed and examiners should always be aware of other symptoms that could suggest a more dangerous disease.
