Computed tomography guided lumbar sympathetic block for complex regional pain syndrome in a child: a case report and review.
The aim of this paper is to describe the first reported use of computed tomography (CT) guided lumbar sympathetic block as treatment of a case of complex regional pain syndrome (CRPS) in a child. The potential aetiology of CRPS is discussed in relation to the mechanism of action of local anaesthetics used in the block. Based on the successful treatment of this child and the documented success of its use in adults, we conclude that despite the minimal dose of radiation given, CT guided lumbar sympathetic block is an important treatment option in CRPS in children.
Bristol Royal Hospital for Children, Bristol, UK.
Giles R
GR
Nordmann
Gillian R
GR
Lauder
David J
DJ
Grier
D000588:Amines / Q000627:therapeutic use; D000639:Amitriptyline / Q000627:therapeutic use; D000700:Analgesics / Q000627:therapeutic use; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000627:therapeutic use; D000929:Antidepressive Agents, Tricyclic / Q000627:therapeutic use; D001340:Autonomic Nerve Block / Q000379:methods*; D001415:Back; D002547:Cerebral Palsy / Q000150:complications; D002648:Child; D020918:Complex Regional Pain Syndromes / Q000523:psychology / Q000628:therapy*; D003509:Cyclohexanecarboxylic Acids / Q000627:therapeutic use; D005260:Female; D000077206:Gabapentin; D006145:Guanethidine / Q000627:therapeutic use; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D010146:Pain / Q000209:etiology / Q000523:psychology; D012187:Retroperitoneal Space; D013565:Sympatholytics / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D004561:Transcutaneous Electric Nerve Stimulation; D005680:gamma-Aminobutyric Acid / Q000627:therapeutic use
D000588:Amines; D000700:Analgesics; D000779:Anesthetics, Local; D000929:Antidepressive Agents, Tricyclic; D003509:Cyclohexanecarboxylic Acids; D013565:Sympatholytics; D000639:Amitriptyline; D005680:gamma-Aminobutyric Acid; D000077206:Gabapentin; D006145:Guanethidine