J Korean Pain Soc.
2001 Jun;14(1):118-122.
Effect of Repeated Lumbar Sympathetic Ganglion Block with Triamcinolone on Complex Regional Pain Syndrome of Vascular Origin: A case report
- Affiliations
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- 1Division of Neuro-Pain Clinic, Department of Anesthesiology, Ajou University College of Medicine, Suwon, Korea.
Abstract
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Complex regional pain syndrome type I of vascular origin is difficult to detect unless the classic symptoms and signs exist and/or overt extremity trauma has precipitated the pain. The diagnosis is confirmed by relief of pain following a sympathetic nerve blockade. A 36-year-old woman with arterial occlusive disease of the right lower extremity presented with burning pain and hyperesthesia after sprain had occurred which was accompanied by motor weakness of right ankle. A lumbar sympathetic ganglion blockade with 2% lidocaine 10 ml and triamcinolone 80 mg produced prompt improvement of the pain and motion.