Korean J Pain.  2010 Mar;23(1):70-73.

Management of Complex Regional Pain Syndrome Type 1 With Total Spinal Block

• Ok SJ
• Yang JY
• Son JH
• Jeong WJ
• Lee YS
• Kim WY
• Park YC

Abstract

Complex regional pain syndrome (CRPS) is a painful and disabling disorder that can affect one or more extremities. Unfortunately, the knowledge concerning its natural history and mechanism is very limited and many current rationales in treatment of CRPS are mainly dependent on efficacy originated in other common conditions of neuropathic pain. Therefore, in this study, we present a case using a total spinal block (TSB) for the refractory pain management of a 16-year-old male CRPS patient, who suffered from constant stabbing and squeezing pain, with severe touch allodynia in the left upper extremity following an operation of chondroblastoma. After the TSB, the patient's continuous and spontaneous pain became mild and the allodynia disappeared and maintained decreased for 1 month.

Keyword

complex regional pain syndrome; total spinal block

MeSH Terms

Adolescent
Chondroblastoma
Extremities
Humans
Hyperalgesia
Male
Natural History
Neuralgia
Pain, Intractable
Upper Extremity

Figure

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  Fig. 1 Complex Regional Pain Syndrome (M/16). This picture shows the thermogram and temperature of the patient painful skin lesion site upper limb.

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