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.
Okada
Makoto
M
Internal Medicine I, National Defense Medical College, Tokorozawa, Saitama.
Suzuki
Kimihiro
K
Hidaka
Toshihiko
T
Shinohara
Tadashi
T
Kataharada
Koji
K
Takada
Kunio
K
Tanaka
Hisahide
H
Ohsuzu
Fumitaka
F
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