Dor Central e Acidente Vascular Cerebral: Uma Breve Revisão Narrativa

Autores

DOI:

https://doi.org/10.24950/R/129/20/2/2021

Palavras-chave:

Acidente Vascular Cerebral, Dor Neuropática, Hiperalgesia, Perceção da Dor, Sensibilização do Sistema Nervoso Central

Resumo

Introdução: A dor pode ser uma sequela de um acidente vascular cerebral (AVC), sendo frequentemente subvalorizada, limitando a qualidade de vida do doente. Este trabalho teve como objetivo fazer uma revisão narrativa sobre a dor central (DC) pós-AVC, incluindo a sua definição, prevalência, apresentação clínica, diagnóstico, fisiopatologia e tratamento.

Métodos: Realizou-se uma pesquisa na PubMed® procurando artigos em Português ou Inglês, com texto completo, relatando investigação humana em adultos, utilizando os termos “central AND pain AND post stroke”. Foram incluídos 33 artigos nesta revisão narrativa.

Discussão: A DC pós-AVC é uma síndrome dolorosa neuropática consequente da agressão ao sistema nervoso central, caracterizada por dor e alterações sensitivas (como alodínia e hiperalgesia). Tem uma prevalência variável de 5% a 50% (no AVC talâmico), sendo frequentemente subdiagnosticada e subtratada. O seu tratamento inclui fármacos como antidepressivos e anticonvulsivantes, assim como uma abordagem não farmacológica adjuvante. A abordagem cirúrgica destina-se a casos refratários.

Conclusão: O tratamento da DC pós-AVC é desafiante e implica uma abordagem individualizada. Estudos futuros poderão esclarecer a fisiopatologia da DC, definir critérios de diagnóstico e reunir evidência que permita um tratamento mais eficaz.

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Publicado

18-06-2021

Como Citar

1.
Reis-Pina P, Ramos MS. Dor Central e Acidente Vascular Cerebral: Uma Breve Revisão Narrativa. RPMI [Internet]. 18 de Junho de 2021 [citado 3 de Julho de 2022];28(2):169-74. Disponível em: https://revista.spmi.pt/index.php/rpmi/article/view/63

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