Causalgia: a restatement.
Forty-eight cases of causalgia are described. The syndrome was caused by missile injury in 33 patients. There was a major arterial injury in 22 patients. Sympathetic block followed by sympathectomy abolished the pain in 11 of the first 14 patients in the series. Causalgia was cured by correcting the lesion of the nerve and of the adjacent axial artery in the subsequent 32 patients. The concept of complex regional pain syndrome Type 1 and Type 2 is challenged.
Birch
Rolfe
R
Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Middlesex, England. Benita.patel@rnoh.nhs.uk
D000293:Adolescent; D000328:Adult; D000368:Aged; D001808:Blood Vessels / Q000293:injuries / Q000473:pathology / Q000503:physiopathology; D002422:Causalgia / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D004632:Emergency Medical Services / Q000379:methods / Q000592:standards; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods* / Q000592:standards; D059348:Peripheral Nerve Injuries; D010525:Peripheral Nerves / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D013562:Sympathectomy / Q000379:methods / Q000592:standards; D014656:Vascular Surgical Procedures / Q000379:methods; D014948:Wounds, Gunshot / Q000150:complications / Q000473:pathology / Q000503:physiopathology; D055815:Young Adult