CASE OF A COMPLEX REGIONAL PAIN SYNDROME AFTER CATHETER IMPLEMENTATION

Year 2015, Volume: 7 Issue: 1, 26 - 29, 22.03.2015

Saygın Yamçici

Abstract

Complex regional pain syndrome (CRPS) type I is a syndrome characterized with burning pain in the extremity, edema, vasomotor and sudomotor changes, and trophic disorders. The pathogenesis of the disease has not clearly explained; however, it is thought to be dependent on the abnormal activity of the sympathetic nervous system. With the aid of the increasing number of researches, more diagnosis and treatment opportunities could be found. In this case report, we have presented a case who has been consulted us about the swelling and pain in the extremity after intravenous catheterization in the hospital and has been diagnosed as CRPS type I.

KATATER UYGULAMASI SONRASI GELİŞEN BİR KOMPLEKS BÖLGESEL AĞRI SENDROMU OLGUSU

Abstract

Kompleks bölgesel ağrı sendromu (KBAS) tip I ekstremitede yanıcı tarzda ağrı, ödem, vazomotor ve sudomotor değişiklikler ve trofik bozukluklarla karakterize bir sendromdur. Hastalık patogenezi hala net olarak açıklanamamış olmakla birlikte, sempatik sinir sisteminin anormal aktivitesine bağlı olduğu düşünülmektedir. Üzerinde yapılan araştırmalar arttıkça daha fazla tanı konulup tedavi edilme olanağı bulmaktadır. Biz bu yazımızda polikliniğimize konsulte edilen hastane ortamında sıkça başvurduğumuz damar yolu açma işlemi sonrası aynı ekstremitesinde şişlik, ağrı gelişen ve tarafımızca KBAS tip I tanısı konularak takip edilen bir olguyu sunmaktayız.

Keywords

KBAS (kompleks bölgesel ağrı sendromu), nöropatik ağrı, nöron

References

• 1. Merskey H, Bogduk N. Classification of Chronic Pain: Descriptions of Chronic pain Syndromes and Definitions of Pain Terms. 2nd edn. Se-attle,WA: IASP Press; 1994:39-43.
• 2. Stilz RJ, Carron H, sanders DB. Reflex sympathetic dstyrophy in a six-year-old: successful treatment by transcutaneous nerve stimulation. Anesth Analg. 1977; 69:438-44.
• 3. Baron R, Janig W. Complex regional pain syndrome-how do we escape the diagnosis trap? Lancet 2004; 364:1739-1741.
• 4. Ofluoğlu D, Akyüz G.. Kompleks bölgesel ağrı sendromu tip 1: genel klinik yaklaşım. Türk J phys med Rehab 2008; 54:112-5.
• 5. Mailis A, Wade J. Profile of Caucasian Women with possible genetic predisposition to reflex sympathetic dystrophy: a pilot study. Clin J Pain 1994; 10: 210–7.
• 6. Janig W, Baron R. Complex regional pain syndrome is a disease of the central nervous system. Clin Auton Res 2002;12:150-64.
• 7. Schweitzer ME, Mandel S, Schwartzman R, Knobler RL, Tah-moush AJ. Reflex sympathetic dystrophy revisited: MR imaging findings before after infussion of con- trast material. Radiology 1995;195:211-4.
• 8. Sen D, Christie D. Chronic idiopathic pain syndromes. Best Pract Res Clin Rheumatol 2006;20:369-86.
• 9. Marsland D, Konyves A, Cooper R, Suvarna SK. Type I complex regional pain syndrome: MRI may be misleading. Injury Extra 2008;39:102-5.
• 10. Avelanet M, Saenz A, Gonzalez-Viejo MA. Treating complex regional pain syndrome, after heart surgery, with gabapentin: a case report. The Pain Clinic 2001; 13: 177– 81.
• 11. Kingery WS. A critical review of controlled clinical trials for peripheral neuropathic pain and complex regional pain syndromes. Pain 1997; 73: 123–39.
• 12. Schwartzman RJ. New treatments for Reflex sympathetic Dystrophy. New Engl J Med 2000; 343: 654–6.
• 13.Harden RN: Pharmacotherapy of Complex Regional Pain Syndrome. Am J Phys Med Rehabil 2005; 84: 17-28.
• 14.Sharma A, Williams K, Raja SN. Advances in treatment of complex regional pain syndrome: recent insights on a perplexing disease. Curr Opin Anesthesiol 2006; 19:566-72.
• 15.Kozanoğlu ME, Sur S. Refleks sempatik distrofi sendromu. Turkiye Klinikleri J PM&R 2001;1:189-96.