Complex Regional Pain Syndrome and Acute Carpal Tunnel Syndrome Following Radial Artery Cannulation: a Neurological Perspective and Review of the Literature

Overview

Journal Medicine (Baltimore)

Specialty General Medicine

Date 2015 Jan 27

PMID 25621693

Citations 5

Authors

Reynaldo P Lazaro

Affiliations

Soon will be listed here.

Abstract

Complex regional pain syndrome (CRPS) associated with acute carpal tunnel syndrome (aCTS) developed in a 38-year-old right-handed man following radial artery cannulation (RAC) during the course of lumbar spine surgery. Inciting events and risk factors that might have led to these complications included: multiple arterial punctures and subsequent hematoma formation, radial artery spasm compounded by aggressive hemostasis, anatomical changes in the wrists related to repetitive manual activities in the workplace, and possible protracted hyperextension of the wrists during perioperative and operative procedure. Although CRPS is considered a rare complication of RAC, the condition is disabling and debilitating, especially when associated with aCTS.

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References

Sasano N, Tsuda T, Sasano H, Ito S, Sobue K, Katsuya H . A case of complex regional pain syndrome type II after transradial coronary intervention. J Anesth. 2004; 18(4):310-2. DOI: 10.1007/s00540-004-0266-0. View

Scheer B, Perel A, Pfeiffer U . Clinical review: complications and risk factors of peripheral arterial catheters used for haemodynamic monitoring in anaesthesia and intensive care medicine. Crit Care. 2002; 6(3):199-204. PMC: 137445. DOI: 10.1186/cc1489. View

PATTEN B . Neuropathy induced by hemorrhage. Arch Neurol. 1969; 21(4):381-6. DOI: 10.1001/archneur.1969.00480160053006. View

Wilbourn A . Iatrogenic nerve injuries. Neurol Clin. 1998; 16(1):55-82. DOI: 10.1016/s0733-8619(05)70367-4. View

Jeong M, Yu J, Chung W . Usefulness of thermography in diagnosis of complex regional pain syndrome type I after transradial coronary intervention. J Invasive Cardiol. 2013; 25(9):E183-5. View

Kuo M, Leong C, Cheng Y, Chang H . Static wrist position associated with least median nerve compression: sonographic evaluation. Am J Phys Med Rehabil. 2001; 80(4):256-60. DOI: 10.1097/00002060-200104000-00004. View

He G, Yang C . Characteristics of adrenoceptors in the human radial artery: clinical implications. J Thorac Cardiovasc Surg. 1998; 115(5):1136-41. DOI: 10.1016/S0022-5223(98)70414-3. View

van Hilten J, van de Beek W, Vein A, van Dijk J, Middelkoop H . Clinical aspects of multifocal or generalized tonic dystonia in reflex sympathetic dystrophy. Neurology. 2001; 56(12):1762-5. DOI: 10.1212/wnl.56.12.1762. View

Molitor P, Wimperis J . Acute carpal tunnel syndrome in haemophiliacs. Br J Clin Pract. 1990; 44(12):675-6. View

10.

Silviu B, Mark W, Reuben I, Shvartzman P . Complex Regional Pain Syndrome type I following radial artery cardiac catheterization. Int J Cardiol. 2005; 101(1):167-8. DOI: 10.1016/j.ijcard.2004.05.045. View

11.

Schmid C, Tjan T, Scheld H . Severe complex regional pain syndrome type II after radial artery harvesting. Ann Thorac Surg. 2002; 74(4):1250-1. DOI: 10.1016/s0003-4975(02)03790-6. View

12.

Kilpatrick T, Leyden M, Sullivan J, Lawler G, Grossman H . Acute median nerve compression by haemorrhage from acute myelomonocytic leukaemia. Med J Aust. 1985; 142(1):51-2. DOI: 10.5694/j.1326-5377.1985.tb113287.x. View

13.

Cho E, Yang J, Song Y . Type II complex regional pain syndrome of the hand resulting from repeated arterial punctures during transradial coronary intervention. Catheter Cardiovasc Interv. 2013; 82(4):E465-8. DOI: 10.1002/ccd.24853. View

14.

Wallach S . Cannulation injury of the radial artery: diagnosis and treatment algorithm. Am J Crit Care. 2004; 13(4):315-9. View

15.

Ruiz-Salmeron R, Mora R, Velez-Gimon M, Ortiz J, Fernandez C, Vidal B . [Radial artery spasm in transradial cardiac catheterization. Assessment of factors related to its occurrence, and of its consequences during follow-up]. Rev Esp Cardiol. 2005; 58(5):504-11. View

16.

Schwartzman R, Kerrigan J . The movement disorder of reflex sympathetic dystrophy. Neurology. 1990; 40(1):57-61. DOI: 10.1212/wnl.40.1.57. View

17.

Qvist J, Peterfreund R, Perlmutter G . Transient compartment syndrome of the forearm after attempted radial artery cannulation. Anesth Analg. 1996; 83(1):183-5. DOI: 10.1097/00000539-199607000-00033. View

18.

Chowet A, Lopez J, Brock-Utne J, Jaffe R . Wrist hyperextension leads to median nerve conduction block: implications for intra-arterial catheter placement. Anesthesiology. 2004; 100(2):287-91. DOI: 10.1097/00000542-200402000-00017. View

19.

Parthenis D, Karagkevrekis C, Waldram M . von Willebrand's disease presenting as acute carpal tunnel syndrome. J Hand Surg Br. 1998; 23(1):114. DOI: 10.1016/s0266-7681(98)80239-8. View

20.

Lazaro R, BRINKER R, Weiss J, Olejniczak S . Femoral and obturator neuropathy secondary to retroperitoneal hemorrhage: the value of the CT scan. Comput Tomogr. 1981; 5(3):221-4. DOI: 10.1016/0363-8235(81)90005-3. View