Management of complex regional pain syndrome type 1 with total spinal block.
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.
Ok
Se Jin
SJ
Department of Anesthesiology and Pain Medicine, Korea University Ansan Hospital, Ansan, Korea.
Yang
Jong Yeun
JY
Son
Ju Hyung
JH
Jeong
Won Ju
WJ
Lee
Yoon Sook
YS
Kim
Woon Young
WY
Park
Young Cheol
YC