CD Skripsi
Gambaran Lokasi Lesi Pada Pasien Nyeri Sentral Pascastroke Di Rsud Arifin Achmad Provinsi Riau Periode 2023–2025
Central post-stroke pain (CPSP) is a chronic neurological complication that significantly affects the quality of life of stroke survivors. It results from damage to central sensory pathways such as the thalamus, brainstem, and sensory cortex. This study aimed to describe the lesion locations in patients with CPSP at Arifin Achmad General Hospital, Riau Province, during the 2023–2025 period. This research employed a descriptive retrospective cross-sectional design using medical record data from 44 patients who met the inclusion criteria. The analysed variables included age, sex, stroke type, lesion location, and lesion laterality based on radiological findings. Results showed that patients under 60 years old predominated (72.7%), with males comprising 68.2%. Ischemic stroke was the most common type (90.9%). The most frequent lesion site was the thalamus (36.4%), followed by the cortex (22.7%) and basal ganglia (13.6%). Regarding lesion laterality, the right hemisphere was predominant (40.9%). In conclusion, CPSP most commonly occurs in ischemic stroke patients with right thalamic lesions, emphasizing the thalamus’s crucial role as a central sensory relay structure in the pathophysiology of CPSP.
Keywords: central post-stroke pain, thalamus, lesion location
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