title: Case study: Gluteal compartment syndrome as a cause of lumbosacral radiculoplexopathy and complex regional pain syndrome.
abstract: We present the case of a 24 yr old male who was diagnosed with gluteal compartment syndrome and was subsequently found to have developed lumbosacral radiculoplexopathy and complex regional pain syndrome. The patient's gluteal compartment syndrome was diagnosed within 24 h of presentation to the emergency room, and he underwent emergent compartment release. While recovering postoperatively, persistent weakness was noted in the right lower limb. Results of electrodiagnostic testing were consistent with a lumbosacral radiculoplexopathy. After admission to inpatient rehabilitation, the patient complained of pain, burning sensation, and numbness in the distal right lower limb. Based on clinical findings, he was diagnosed with complex regional pain syndrome type II, or causalgia, and was referred for a lumbar sympathetic block under fluoroscopic guidance. Sympathetic block resulted in relief of the patient's symptoms. He was discharged home with good pain control on oral medications.
authors.forename: Andrew
authors.initials: A
authors.lastname: Lederman
authors.forename: David
authors.initials: D
authors.lastname: Turk
authors.forename: Antonio
authors.initials: A
authors.lastname: Howard
authors.forename: Srinivas
authors.initials: S
authors.lastname: Reddy
authors.forename: Michelle
authors.initials: M
authors.lastname: Stern
mesh_terms: D003161:Compartment Syndromes / Q000150:complications / Q000175:diagnosis*; D020918:Complex Regional Pain Syndromes / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008160:Lumbosacral Plexus / Q000473:pathology; D008297:Male; D011843:Radiculopathy / Q000175:diagnosis* / Q000209:etiology; D055815:Young Adult
keywords: case report; causalgia; complex regional pain syndrome; electromyography; fasciotomy; gluteal compartment syndrome; lumbosacral radiculoplexopathy; renal failure; rhabdomyolysis; sympathetic block