Complex regional pain syndrome type I induced by pacemaker implantation, with a good response to steroids and neurotropin.
An 84-year-old woman was referred to our hospital because of aches and pain in her left hand and foot. Three months before her symptoms occurred, a pacemaker had been implanted for the treatment of a 2:1 atrioventricular block with bradycardia. In an X-ray examination, prominently decreased bone density was noted in her left fingers and toes. She was diagnosed to have CRPS-I, which was considered to have been induced by the pacemaker implantation. After treatment with methylprednisolone and Neurotropin, her symptoms dramatically improved.
Internal Medicine I, National Defense Medical College, Tokorozawa, Saitama.
Makoto
M
Okada
Kimihiro
K
Suzuki
Toshihiko
T
Hidaka
Tadashi
T
Shinohara
Koji
K
Kataharada
Kunio
K
Takada
Hisahide
H
Tanaka
Fumitaka
F
Ohsuzu
D000368:Aged; D000369:Aged, 80 and over; D000700:Analgesics / Q000627:therapeutic use*; D013504:Cardiovascular Surgical Procedures / Q000009:adverse effects; D004359:Drug Therapy, Combination; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use*; D006327:Heart Block; D006801:Humans; D008775:Methylprednisolone / Q000627:therapeutic use*; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011134:Polysaccharides / Q000627:therapeutic use*; D019919:Prosthesis Implantation / Q000009:adverse effects; D012019:Reflex Sympathetic Dystrophy / Q000188:drug therapy / Q000209:etiology*; D016896:Treatment Outcome
D000700:Analgesics; D005938:Glucocorticoids; D011134:Polysaccharides; C010491:neurotropin; D008775:Methylprednisolone