Korean J Anesthesiol.  2004 Nov;47(5):747-750. 10.4097/kjae.2004.47.5.747.

A Case of Intractable Chest Pain of Unknown Origin which was Suspicious of Complex Regional Pain Syndrome Type I: A case report

• Jin SY
• Han YJ
• Choe H

• KMID: 2236682
• DOI: http://doi.org/10.4097/kjae.2004.47.5.747

Abstract

Complex regional pain syndrome (CRPS) type I is an intractable pain syndrome accompanied with autonomic nerve symptoms, but without certain evidence of nerve injury. It is mainly caused by trauma, such as, fracture, sprain, contusion, etc., and is characterized by, pain (either by contact or spontaneously), allodynia, hyperalgia, vasomotor, and autonomic changes (including variable skin color changes), temperature change, swelling, edema, sweating, trophic change, and motor disturbance. We report the case of a 60-year-old woman who had suffered from severe pain on the right chest for several years. She was satisfactorily treated by pharmacologic therapy and continuous epidural nerve block.

Keyword

complex regional pain syndrome type I; epidural nerve block

MeSH Terms

Autonomic Pathways
Chest Pain*
Contusions
Edema
Female
Humans
Hyperalgesia
Middle Aged
Nerve Block
Pain, Intractable
Skin
Sprains and Strains
Sweat
Sweating
Thorax*