Open AccessTreatment of Type 1 Complex Regional Pain Syndrome in 14 Years Old Child
Author(s) -
В. Н. Меркулов,
А. И. Дорохин,
А. И. Крупаткин,
M. V Merkulov,
M. A. Avakova
Publication year - 2014
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.32414/0869-8678-2014-4-79-82
Subject(s) - medicine , complex regional pain syndrome , girl , surgery , anesthesia , bolus (digestion) , sympathectomy , psychology , developmental psychology
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.