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Ann Afr Med. 2020 Jan-Mar;19(1):68-70. doi: 10.4103/aam.aam_23_19.

Complex regional pain syndrome: A case report and review of the literature.

Author information

1
Department of Medicine, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Bauchi State, Nigeria.
2
Department of Medicine, King Saud University College of Medicine, Dallah Hospital, Riyadh, Saudi Arabia.
3
Department of Anaesthesia, King Saud University College of Medicine, Riyadh, Saudi Arabia.
4
Department of Orthopedics, King Saud Bin Abdulaziz University, Riyadh, Saudi Arabia.

Abstract

in English, French

Background:

Complex regional pain syndrome (CRPS) is a rare neuropathic pain disorder associated with severe pain, muscle weakness, limb edema and hyperhidrosis. Predisposing factors include fracture, surgery, stroke and spinal cord injury. CRPS may recur in the same limb or spread to other limbs to complicate management.

Case Report:

A 20-year old female with CRPS Type-I had sequential spread to all four limbs despite different treatment modalities, including medical therapy, nerve block, radiofrequency ablation and surgical sympathectomy. We discuss the therapeutic challenges and reviewed recent literature on current treatment options for CRPS Type-I.

Conclusion:

A multidisciplinary approach is needed for effective management of CRPS, and refractory disease may respond to intrathecal baclofen with morphine.

KEYWORDS:

Complex regional pain syndrome; sympathectomy; sympathetic block

PMID:
32174618
DOI:
10.4103/aam.aam_23_19
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