A Follow-up Study of 14 Young Adults with Complex Regional Pain Syndrome Type I

2000 ◽  
Vol 32 (2) ◽  
pp. 83-88 ◽  
Author(s):  
Mary E. Greipp
2011 ◽  
Vol 36 (9) ◽  
pp. 771-777 ◽  
Author(s):  
S. E. Varitimidis ◽  
L. K. Papatheodorou ◽  
Z. H. Dailiana ◽  
L. Poultsides ◽  
K. N. Malizos

Complex regional pain syndrome type I (CRPS-I) is a known complication after surgery or trauma to the upper extremity and is difficult to treat. A simple and easily tolerated method of treatment that includes intravenous regional anaesthetic block with lidocaine and methyloprednisolone is presented. One hundred and sixty-eight patients with CRPS-I of the upper extremity were treated in a 5-year period. At the end of treatment 88% of the patients reported minimal or no pain. After a mean follow-up of 5 years (range 28 months to 7 years) complete absence of pain was reported by 92% of patients. The symptoms of the acute phase of the syndrome were reversed. Early recognition and prompt initiation of treatment is very important for the course of the disease as symptoms can be reversible when treatment starts early. Permanent results with a functional upper extremity and very satisfactory pain relief can be anticipated.


2008 ◽  
Vol 2008 ◽  
pp. 1-7 ◽  
Author(s):  
Feikje Wesseldijk ◽  
Frank J. P. M. Huygen ◽  
Claudia Heijmans-Antonissen ◽  
Sjoerd P. Niehof ◽  
Freek J. Zijlstra

In an earlier study, levels of the proinflammatory cytokines TNF-αand IL-6 are higher in blisters fluid from the complex regional pain syndrome type 1 (CRPS1) side obtained at 6 and 30 months (median) after the initial event. The aim of this follow-up study is to determine the involvement of these cytokines in long lasting CRPS1. Twelve CRPS1 patients, with median disease duration of 72 months, participated. The levels of TNF-αand IL-6 were measured in blister fluid; disease activity was reevaluated by measuring pain and differences in temperature, volume, and mobility between both extremities. Differences in levels of IL-6 and TNF-αand mobility between both sides were significantly decreased. Pain and differences in temperature and volume were not significantly altered. No correlation was found between the cytokines and the disease characteristics. These results indicate that IL-6 and TNF-αare only partially responsible for the signs and symptoms of CRPS1.


2008 ◽  
Vol 12 (1) ◽  
pp. 48-52 ◽  
Author(s):  
Florian Brunner ◽  
Stephanie B. Lienhardt ◽  
Rudolf O. Kissling ◽  
Lucas M. Bachmann ◽  
Ulrich Weber

2007 ◽  
Vol 24 (Supplement 39) ◽  
pp. 175
Author(s):  
R. Perez ◽  
S. Collins ◽  
W. Zuurmond ◽  
J. De Lange ◽  
S. Loer

2018 ◽  
Vol 60 (3) ◽  
pp. 78
Author(s):  
Yasin Demir ◽  
Ümüt Güzelküçük ◽  
Serdar Kesikburun ◽  
Berke Aras ◽  
Mehmet Ali Taşkaynatan ◽  
...  

2009 ◽  
Vol 110 (2) ◽  
pp. 274-278
Author(s):  
Kim Rijkers ◽  
Jasper van Aalst ◽  
Erkan Kurt ◽  
Marc A. Daemen ◽  
Emile A. M. Beuls ◽  
...  

The authors present the case of a 49-year-old female patient with complex regional pain syndrome–Type I (CRPSI) who was suffering from nonhealing wounds and giant bullae, which dramatically improved after spinal cord stimulation (SCS). The scientific literature concerning severe cutaneous manifestations of CRPS-I and their treatment is reviewed. Nonhealing wounds and bullae are rare manifestations of CRPS-I that are extremely difficult to treat. Immediate improvement of both wounds and bullae after SCS, such as in this case, has not been reported previously in literature. Considering the rapidly progressive nature of these severe skin manifestations, immediate treatment, possibly with SCS, is mandatory.


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