Ok SJ, Yang JY, Son JH, Jeong WJ, Lee YS, Kim WY, Park YC. Management of complex regional pain syndrome type 1 with total spinal block.
Korean J Pain 2010;
23:70-3. [PMID:
20552078 PMCID:
PMC2884217 DOI:
10.3344/kjp.2010.23.1.70]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2009] [Revised: 11/17/2009] [Accepted: 12/04/2009] [Indexed: 11/05/2022] Open
Abstract
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.
Collapse