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Complex Regional Pain Syndrome: A Case Report and Review of the Literature

Overview
Journal Ann Afr Med
Specialty General Medicine
Date 2020 Mar 17
PMID 32174618
Citations 5
Authors
Nura H Alkali
Abdulrahman M Al-Tahan
Mohammad Al-Majed
Husam Al-Tahan
Affiliations
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Abstract

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.

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A case of truncal complex regional pain syndrome: literature review.

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An Unusual Presentation of Complex Regional Pain Syndrome Type 1.

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