J Korean Pain Soc.
1997 Nov;10(2):274-276.
A Case of CRPS Treated with Implantable Port System
- Affiliations
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- 1Department of Anesthesiology, Kwangju Veterans Hospital, Kwangju, Korea.
- 2Pain Clinic, Hyundae Hospital, Kwangju, Korea.
Abstract
- The complex regional pain syndrome (CRPS) exhibit symptoms such as: abnormal skin color, tem- perature change, abnormal pseudomotor activity, edema. If CRPS is not treated appropriately at acute stage, then the affected extremity may become a useless, painful appendage. Treatment of CRPS by sympathetic blockade may be achieved by repeated intravenous regional guanethidine blocks, repeated anesthetic sympathetic blocks, surgical sympathectomy or oral sympatholytic therapy. We treated 29-year-old male patient with CRPS of left upper extremity by cantinuous cervical epidural blockade. Due to wound infection and dislocation of the epidural catheter, we inserted an implantable port system to inject the mixture of local anesthetics and small amount of morphine. After 10 months of treatment, patient was cured of symptoms and signs of CRPS and was able to resume a normal life.
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