Complex regional pain syndrome in a 15-year-old girl successfully treated with continuous epidural anesthesia.
A 15-year-old girl developed severe pain in her right upper limb within a few days after she experienced an astatic epileptic seizure accompanied by falling on her right side. She was treated with fluid infusion through a cannula into her right hand. Swelling, mild flaring, and muscle weakness of the right arm subsequently appeared. Pharmacotherapy and stellate ganglion block were ineffective, and continuous epidural anesthesia was commenced 14 days after the falling event. The pain and accompanying symptoms completely disappeared within 5 days. Early treatment with continuous epidural anesthesia may be a promising option for the management of complex regional pain syndrome during childhood.
Department of Child Neurology, National Center of Neurology and Psychiatry (NCNP), Kodaira, Tokyo, Japan. Electronic address: saitoyo@ncnp.go.jp.
Yoshiaki
Y
Saito
Department of Child Neurology, National Center of Neurology and Psychiatry (NCNP), Kodaira, Tokyo, Japan.
Shimpei
S
Baba
Department of Neurosurgery, NCNP, Kodaira, Tokyo, Japan.
Akio
A
Takahashi
Department of Psychiatry, NCNP, Kodaira, Tokyo, Japan.
Daichi
D
Sone
Department of Pain Clinic, NTT Medical Center Tokyo, Shinagawa, Tokyo, Japan.
Natsuko
N
Akashi
Department of Child Neurology, National Center of Neurology and Psychiatry (NCNP), Kodaira, Tokyo, Japan.
Reiko
R
Koichihara
Department of Child Neurology, National Center of Neurology and Psychiatry (NCNP), Kodaira, Tokyo, Japan.
Akihiko
A
Ishiyama
Department of Child Neurology, National Center of Neurology and Psychiatry (NCNP), Kodaira, Tokyo, Japan.
Takashi
T
Saito
Department of Child Neurology, National Center of Neurology and Psychiatry (NCNP), Kodaira, Tokyo, Japan.
Hirofumi
H
Komaki
Department of Child Neurology, National Center of Neurology and Psychiatry (NCNP), Kodaira, Tokyo, Japan.
Eiji
E
Nakagawa
Department of Child Neurology, National Center of Neurology and Psychiatry (NCNP), Kodaira, Tokyo, Japan.
Kenji
K
Sugai
Department of Child Neurology, National Center of Neurology and Psychiatry (NCNP), Kodaira, Tokyo, Japan.
Masayuki
M
Sasaki
Department of Neurosurgery, NCNP, Kodaira, Tokyo, Japan.
Taisuke
T
Otsuki
D000058:Accidental Falls; D000293:Adolescent; D000767:Anesthesia, Epidural / Q000379:methods*; D020918:Complex Regional Pain Syndromes / Q000188:drug therapy*; D005260:Female; D006801:Humans; D012640:Seizures / Q000150:complications
Complex regional pain syndrome (CRPS); Continuous epidural anesthesia; Nerve block; Reflex sympathetic dystrophy (RSD)