title: Simultaneous complex regional pain syndrome of the upper and lower limb in a stroke patient. Case report.
abstract: Complex regional pain syndrome (CRPS) is a clinical condition charactarized by localised or diffuse pain accompanied with vasomotor, sudomotor and trophic changes in the affected part of the body. CRPS type-1 (CRPS-1) is a disabling problem after stroke and it is frequently reported in plegic upper limb. Although hemiplegia also involve the lower limb only a small number of patients reported to have CRPS-1 in the ipsilateral lower limb simultaneously in the literature. In this article a 70 year-old left hemiplegic woman secondary to ischemic stroke who had a complaint of constant and severe pain in quality of sharp stinging of left arm and leg for approximately 2 months and diagnosed as CRPS-1 in both upper and lower plegic limb simultaneously is presented. By the combination of medical and physical therapy the symptoms and signs resolved within 5 weeks and increased participation to the rehabilitation program is observed.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ministry of Health, Ankara, Turkey. iremunlu95@yahoo.com
authors.forename: I
authors.initials: I
authors.lastname: Unlü Şakaci
authors.forename: M
authors.initials: M
authors.lastname: Ersöz
authors.forename: H
authors.initials: H
authors.lastname: Tunç
authors.forename: S
authors.initials: S
authors.lastname: Yilmaz
authors.forename: S
authors.initials: S
authors.lastname: Akkuş
mesh_terms: D000368:Aged; D020918:Complex Regional Pain Syndromes / Q000209:etiology / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D035002:Lower Extremity; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D020521:Stroke / Q000150:complications*; D000071939:Stroke Rehabilitation; D034941:Upper Extremity