Treatment of Type 1 Complex Regional Pain Syndrome in 14 Years Old Child

Abstract


Case report on 14 years old girl with type 1 complex regional pain syndrome (CRPS) is presented. At first admission in 5.5 months after right hand injury and development of type 1 CRPS, paravasal sympathectomy on the right upper extremity was performed. Complete elimination of pain syndrome and restoration of the extremity function was achieved. Five and a half months after discharge the left foot and in 3 weeks later the right hand were injured. In both cases injuries were accompanied by pronounced CRPS clinical picture. At second admission in 6 weeks after foot injury interventional treatment with placement of catheters next to nerve trunks and bolus administration of antibiotics was performed for 1 week and enabled to achieve remission of the disease. It was noted that not only hypersymphaticotony but also psychological status of a patient were important for the disease development.

About the authors

V. N Merkulov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia


A. I Dorokhin

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

Email: cito-9dpt@mail.ru

A. I Krupatkin

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia


M. V Merkulov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia


M. A Avakova

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia


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Copyright (c) 2014 Merkulov V.N., Dorokhin A.I., Krupatkin A.I., Merkulov M.V., Avakova M.A.

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