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Pain

Tutorial 561

Chronic Pain of Central Origin

Ana Inês Proença Pinto1†, Ana Rita Marques Franco2, Mariana Cortez3

1Anesthesiology resident, Unidade Local de Saúde da Região de Aveiro, Portugal

2Anesthesiology resident, Unidade Local de Saúde da Região de Aveiro, Portugal

3Anesthesiology Consultant, Unidade Local de Saúde da Região de Aveiro, Portugal

Edited by: Dr Christopher Haley, Anaesthesiology Consultant, Kingston Health Sciences, Canada

Corresponding author email: inesproencapinto@gmail.com

DOI: 10.28923/atotw.561

Published December 2, 2025

Abstract

This tutorial explores chronic central pain, focusing on its classification, pathophysiology, clinical presentation, diagnosis and management. It covers conditions such as post-stroke pain, pain resulting from spinal cord or brain injury, and pain related to multiple sclerosis, along with treatment strategies.