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

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

Mahmut Yener , Erdem İlgün Selami Akkuş

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.

Anahtar Kelimeler

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Tip I Bölgesel Ağrı Sendromunun İntravenöz Anestesi İle Başarılı Tedavisi

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.

Anahtar Kelimeler

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Kaynakça

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• Mahmut Yener ve ark.