Management of Complex Regional Pain Syndrome Type 1 With Total Spinal Block

Complex regional pain syndrome (CRPS) is a painful and disabling disorder that can affect one or more extremities. Unfortunately, the knowledge concerning its natural history and mechanism is very limited and many current rationales in treatment of CRPS are mainly dependent on efficacy originated in...

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Detalles Bibliográficos
Autores principales: Ok, Se Jin, Yang, Jong Yeun, Son, Ju Hyung, Jeong, Won Ju, Lee, Yoon Sook, Kim, Woon Young, Park, Young Cheol
Formato: Texto
Lenguaje:English
Publicado: The Korean Pain Society 2010
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2884217/
https://www.ncbi.nlm.nih.gov/pubmed/20552078
http://dx.doi.org/10.3344/kjp.2010.23.1.70
Descripción
Sumario:Complex regional pain syndrome (CRPS) is a painful and disabling disorder that can affect one or more extremities. Unfortunately, the knowledge concerning its natural history and mechanism is very limited and many current rationales in treatment of CRPS are mainly dependent on efficacy originated in other common conditions of neuropathic pain. Therefore, in this study, we present a case using a total spinal block (TSB) for the refractory pain management of a 16-year-old male CRPS patient, who suffered from constant stabbing and squeezing pain, with severe touch allodynia in the left upper extremity following an operation of chondroblastoma. After the TSB, the patient's continuous and spontaneous pain became mild and the allodynia disappeared and maintained decreased for 1 month.

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