General points and assumptions

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There have been a number of comprehensive reviews on the subject of central neuropathic pain.8'9'10 There are four major points that need to be recognized:

1. Central neuropathic pain can stem from a lesion anywhere in the central nervous system, but the clinical presentation and pain phenotype may be nondiagnostic.

More recent incidence and prevalence studies have attempted to identify pain subtypes (neuropathic, noci-ceptive, visceral) in their analysis. Many older studies did not specify whether the chronic pain associated with a central neurologic process was neuropathic or not.

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