J Korean Pain Soc.  1994 May;7(1):96-99.

A case of Causalgia with Contracture Deformity in Lower Extremity

• Yang SK
• Yoon DM
• Oh HK

Abstract

Causalgia is a symptom complex usually consisting of burning pain, hyperesthesia and atrophy of the involved extremity. The pain may be aggravated by contact, motion of extremity or emotional excitement. It occurs following incomplete nerve injury. The patient was a 58-year-old male with a 3-year history of causalgic pain of left lower extremity. He had multiple fractures with degloving injury of left lower extremity in an automobile accident. The pain was exacerbated by movement, and he experienced knee joint and ankle joint contracture. The patients pain decreased after continuous epidural block with 1% lidocaine and 0.25% bupivacaine. He also received lumbar sympathetic ganglion alcohol block resulting in much im-provement of level of pain and walking disturbance.

Keyword

Causalgia; Incomplete nerve injury; Lumbar sympathetic ganglion block

MeSH Terms

Ankle Joint
Atrophy
Automobiles
Bupivacaine
Burns
Causalgia*
Congenital Abnormalities*
Contracture*
Extremities
Ganglia, Sympathetic
Humans
Hyperesthesia
Knee Joint
Lidocaine
Lower Extremity*
Male
Middle Aged
Walking
Bupivacaine
Lidocaine