BibTex RIS Kaynak Göster

Successful Treatment of Complex Regional Pain Syndrome Type I Using Intravenous Regional Anesthesia

Yıl 2014, Cilt: 5 Sayı: 1, 21 - 22, 27.04.2014

Öz

Electrical burn injuries affect a lot of tissues including blood vessels, muscles, nerves, tendons, bone and skin. Complex Regional Pain Syndrome Type I (CRPS Type I) is defined as a post-traumatic pain syndrome presenting with spontaneous pain. There are a few case reports in the literature about CRPS Type I following electrical injury. Some therapeutic approaches including use of adrenergic agents, anticonvulsants, steroids and tricyclic antidepressant drugs, and sympathetic blockade are recommended for neuropathic pain; however, there has been no standard therapy in this syndrome. Herein; we presented a case of CRPS Type I following electrical injury, which was treated successfully by intravenous regional anesthesia.

Kaynakça

  • Gennora S, Stan M, Koen Van L. Rehabilitation of burn in- jured patients following lightning and electrical trauma. Neuro Rehabilitation 2005; 20: 35-42.
  • Farrel DF, Star A. Delayed neurological sequelae of electrical injuries. Neurology 1968; 18: 601-606.
  • Aldrete JA, Ghaly R. Delayed sympathetically maintained pain caused by electrical burn at the current entry and exit sites, J Pain Symptom Manage 1994; 9: 541-543.
  • Schurmann M, Grandl G, Andress HJ, Furst H, Schildberg FW Assesstment of peripheral sympathetic nervous function for diagnosing early post traumatic complex regional pain syn- drome type I. Pain 1999; 80: 149-159.
  • Sahin F, Yilmaz F, et al. Efficacy of salmon calcitonin in complex regional pain syndrome(type I) in addition to physical therapy. Clin Rheumatol 2006; 25: 143-148.
  • Pittman DM, Belgrade MJ, Complex regional pain syn- drome, Am Fam Physician 1997; 56: 2265-2270, 2275-2276.
  • Baxter CR. Present concept in th manegementof amjor elec- trical injury. Surg Clin North Am 1970; 50: 1401-1408.
  • Kleinert HE, Cole NM,Wayne L, et al. Post traumatic sym- pathetic dystrophy. Orthop Clin North Am. 1973; 4: 917-927.
  • Betend B, Kohler L, et al. Metahpyseal osteolysis. Unusu- al aspect of reflex algodystrophy in children. Arch Fr Pediatr. 1981; 38: 121-123.
  • Matles AI. Reflex sympathetic dystrophy in a child .A case report. Bull Hosp Joint Dis. 1971; 32: 193-197.
  • Richlin DM, Carron H, Rowlingson JC, Sussman MD, Baugher WH, Goldner RD. Reflex sympathetic dystrophy: suc- cesful treatment by trans cutanoues nevre stimulation. J Pediatr. 1978; 93: 84-86.
  • Stilz RJ, Carron H, Sanders DB. Reflex sympathetic dys- trophy in a 6 –year-old: succesful treatment by trans cutanoues nerve stimulation. Anesth Analg. 1977; 56: 438-443.
  • Bernstein BH, Singsen BH, Kent JT, Kornreich H, King K, Hicks R, Hanson V. Reflex neurovasculer dystrophy in child- hood. J Pediatr.1978; 93: 211-215.
  • Frouzanfar T, Köke AJA, van Kleef M, Weber WES.Treat- ment of complex regional pain syndrome type I. Eur. J. Pain 2002; 6: 105-122.
  • van de Vusse AC, Stomp-van den Berg SG, Kessels AH, Weber WE. Randomised controlled trial of gabapentin in Com- plex Regional Pain Syndrome type 1. BMC Neurol. 2004; 4: 13.
  • Poplawski ZJ, Wiley AM, Murray JF. Post-traumatic dys- trophy of the extremities. J Bone Joint Surg Am 1983; 65: 642- 655.
  • Tountas AA, Noguchi A. Treatment of posttraumatic reflex sympathetic dystrophy syndrome (RSDS) with intravenous blocks of a mixture of corticosteroid and lidocaine: A retrospec- tive review of 17 consecutive cases. J Orthop Trauma 1991; 5: 412-419.
  • Zyluk A. Results of the treatment of posttraumatic reflex sympathetic dystrophy of the upper extremity with regional intravenous blocks of methylprednisolone and lidocaine.Acta Orthop Belg 1998; 64: 452-456.
  • Taskaynatan MA. et al. Bier block with methylprednisolone and lidocaine in CRPS type I: A randomized, double-blinded, placebo-controlled study. Reg Anesth Pain Med. 2004; 29: 408- 412.
  • Mahmut Yener ve ark.

Tip I Bölgesel Ağrı Sendromunun İntravenöz Anestesi İle Başarılı Tedavisi

Yıl 2014, Cilt: 5 Sayı: 1, 21 - 22, 27.04.2014

Öz

Elektrik çarpması sonucu kan damarları, kaslar, sinirler, tendonlar, kemik yapılar ve deri gibi birçok organ etkilenebilir. Tip 1 Kompleks Bölgesel Ağrı Sendromu (KBAS Tip 1) spontan ağrı ile kendini gösteren bir post-travmatik ağrı sendromudur. Literatürde, elektrik çarpmasına bağlı KBAS Tip 1 gelişen az sayıda olgu bildirilmiştir. Her ne kadar nöropatik ağrı için adrenerjik ajanların, antikonvülzan ilaçların, steroidlerin, trisiklik antidepresanların kullanımı ve sempatik blok yapma gibi bazı tedavi metotları önerilse de bu hastalık tablosunun standart bir tedavisi yoktur. Burada, elektrik çarpmasına bağlı KBAS Tip 1 gelişen ve intravenöz bölgesel anestezi ile başarılı bir şekilde tedavi edilen bir olgu sunduk.

Kaynakça

  • Gennora S, Stan M, Koen Van L. Rehabilitation of burn in- jured patients following lightning and electrical trauma. Neuro Rehabilitation 2005; 20: 35-42.
  • Farrel DF, Star A. Delayed neurological sequelae of electrical injuries. Neurology 1968; 18: 601-606.
  • Aldrete JA, Ghaly R. Delayed sympathetically maintained pain caused by electrical burn at the current entry and exit sites, J Pain Symptom Manage 1994; 9: 541-543.
  • Schurmann M, Grandl G, Andress HJ, Furst H, Schildberg FW Assesstment of peripheral sympathetic nervous function for diagnosing early post traumatic complex regional pain syn- drome type I. Pain 1999; 80: 149-159.
  • Sahin F, Yilmaz F, et al. Efficacy of salmon calcitonin in complex regional pain syndrome(type I) in addition to physical therapy. Clin Rheumatol 2006; 25: 143-148.
  • Pittman DM, Belgrade MJ, Complex regional pain syn- drome, Am Fam Physician 1997; 56: 2265-2270, 2275-2276.
  • Baxter CR. Present concept in th manegementof amjor elec- trical injury. Surg Clin North Am 1970; 50: 1401-1408.
  • Kleinert HE, Cole NM,Wayne L, et al. Post traumatic sym- pathetic dystrophy. Orthop Clin North Am. 1973; 4: 917-927.
  • Betend B, Kohler L, et al. Metahpyseal osteolysis. Unusu- al aspect of reflex algodystrophy in children. Arch Fr Pediatr. 1981; 38: 121-123.
  • Matles AI. Reflex sympathetic dystrophy in a child .A case report. Bull Hosp Joint Dis. 1971; 32: 193-197.
  • Richlin DM, Carron H, Rowlingson JC, Sussman MD, Baugher WH, Goldner RD. Reflex sympathetic dystrophy: suc- cesful treatment by trans cutanoues nevre stimulation. J Pediatr. 1978; 93: 84-86.
  • Stilz RJ, Carron H, Sanders DB. Reflex sympathetic dys- trophy in a 6 –year-old: succesful treatment by trans cutanoues nerve stimulation. Anesth Analg. 1977; 56: 438-443.
  • Bernstein BH, Singsen BH, Kent JT, Kornreich H, King K, Hicks R, Hanson V. Reflex neurovasculer dystrophy in child- hood. J Pediatr.1978; 93: 211-215.
  • Frouzanfar T, Köke AJA, van Kleef M, Weber WES.Treat- ment of complex regional pain syndrome type I. Eur. J. Pain 2002; 6: 105-122.
  • van de Vusse AC, Stomp-van den Berg SG, Kessels AH, Weber WE. Randomised controlled trial of gabapentin in Com- plex Regional Pain Syndrome type 1. BMC Neurol. 2004; 4: 13.
  • Poplawski ZJ, Wiley AM, Murray JF. Post-traumatic dys- trophy of the extremities. J Bone Joint Surg Am 1983; 65: 642- 655.
  • Tountas AA, Noguchi A. Treatment of posttraumatic reflex sympathetic dystrophy syndrome (RSDS) with intravenous blocks of a mixture of corticosteroid and lidocaine: A retrospec- tive review of 17 consecutive cases. J Orthop Trauma 1991; 5: 412-419.
  • Zyluk A. Results of the treatment of posttraumatic reflex sympathetic dystrophy of the upper extremity with regional intravenous blocks of methylprednisolone and lidocaine.Acta Orthop Belg 1998; 64: 452-456.
  • Taskaynatan MA. et al. Bier block with methylprednisolone and lidocaine in CRPS type I: A randomized, double-blinded, placebo-controlled study. Reg Anesth Pain Med. 2004; 29: 408- 412.
  • Mahmut Yener ve ark.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Olgu Sunumları
Yazarlar

Mahmut Yener

Erdem İlgün Bu kişi benim

Selami Akkuş

Yayımlanma Tarihi 27 Nisan 2014
Gönderilme Tarihi 6 Mart 2013
Yayımlandığı Sayı Yıl 2014 Cilt: 5 Sayı: 1

Kaynak Göster

Vancouver Yener M, İlgün E, Akkuş S. Successful Treatment of Complex Regional Pain Syndrome Type I Using Intravenous Regional Anesthesia. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2014;5(1):21-2.

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