J Korean Pain Soc.  1991 Nov;4(2):186-190.

Continuous Epidural Block in a 6 Year old Girl with Causalgia

• Han CS
• Yoon DM
• Oh HK
• Chung KS

Abstract

Causalgia is an extremely incapacitating disease often associated with a major peripheral nerve injury, which is characterized by sustained diffuse burning pain, allodynia and hyperpathia. The condition follows traumatic nerve lesions, often combined with vasomotor and sudomotor disturbances and later trophic changes. While sympathectomy has been the classical treatment of causalgia, others nonsurgical therapies such as regional sympathetic block, IV regional sympathetic block, oral adrenolytic drugs, transcutaneous electrical nerve simulation, physical theraphy, cryotheraphy and psychotheraphy have been used. Causalgia is rare in children and early treatment is controversial because of the possibility of many different complications following aggressive treatment. This is a report of a 6-year-old girl with causalgia suffered after a right posterior tibial nerve injury following an intragluteal injection of an antipyretics. We successfully treated this syndrome with continuous epidural block using 0.5/ lidocaine and no specific complication was encountered.

MeSH Terms

Adrenergic Antagonists
Antipyretics
Burns
Causalgia*
Child*
Female*
Humans
Hyperalgesia
Lidocaine
Peripheral Nerve Injuries
Sympathectomy
Tibial Nerve
Adrenergic Antagonists
Antipyretics
Lidocaine