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복합부위통증증후군 제I형 환자에서 조기 척수자극술이 필요한가? - 증례 보고 -

Is Early Spinal Cord Stimulation in Patients with Complex Regional Pain Syndrome Necessary? - A case report -

김찬|한경림|이상은|김경태|민형기
대한통증학회 (The Korean Pain Society)|2006.12|The Korean Journal of Pain|제19권 제2호|pp. 18-18

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Abstract

=Is Early Spinal Cord Stimulation in Patients with ComplexRegional Pain Syndrome Necessary?A case report Hyoung Ki Min, M.D., Kyung Ream Han, M.D., Sang Eun Lee, M.D., Kyoung Tae Kim, M.D., and Chan Kim, M.D.Pain Clinic, Department of Anesthesiology and Pain Medicine, College of Medicine, Ajou University, Suwon, KoreaComplex regional pain syndrome (CRPS) is clinically characterized by pain, abnormal regulation of blood flow and sweating, edema of skin and subcutaneous tissues, sensory and motor disturbances, and trophic changes of the skin. A 21-year-old man was suffering from pain and swelling in his right hand and forearm. His arm had been in splints for 3 weeks following an extension injury of the right fingers and wrist, with the pain having developed 2 weeks after the splinting. He was treated with various nerve blocks including continuous epidural infusion, thoracic sympathetic block and peripheral nerve blocks, and squeezing his edematous region under general anesthesia as well as intravenous lidocaine and ketamine infusions. However, all of the performed treatments had no effect on the patient's pain or hand swelling. As a next line therapy, spinal cord stimulation should be considered because of intractable severe pain and swelling to almost all other modalities of therapy. We therefore performed an early intervention of spinal cord stimulation for the patient with refractory CRPS type I 5 months after the onset of pain and have got an excellent result. (Korean J Pain 2006; 19: 223 227)

참고문헌 (16)

  1. "Complex regional pain syndrome in children and adolescents", 10, pp.767~70 (2006)
  2. "Complex regional pain syndromes", pp.1011~27 (2006), Elsevier Churchill Livingstone
  3. "Complex regional pain syndromes-type I: reflex sympathetic dystrophy, and type II: causalgia", pp.388~411 (2001), Lippincott Williams & Wilkins
  4. "Complex regional pain syndrome:manifestations and the role of neurostimulation in its management", 31, pp.20~4 (2006)
  5. "Complex regional pain syndromes:guidelines for therapy", 14, pp.155~66 (1998)
  6. "Complex regional pain syndromes(reflex sympathetic dystrophy and causalgia)and spinal cord stimulation", 7, pp.~96 (2006)
  7. "Interventional therapies in the management of complex regional pain syndrome", 22, pp.438~42 (2006)
  8. "An updated interdisciplinary clinical pathway for CRPS:report of an expert panel", 2, pp.1~16 (2002)
  9. "Complex regional pain syndrome - diagnostic,mechanisms,CNS involvement and therapy", 41, pp.61~75 (2003)
  10. "Spinal cord stimulation and intractable pain: patient selection", pp.566~70 (2001), Saunders Co
  11. "Spinal cord and brain stimulation", pp.563~82 (2006), Churchill Livingstone Publisher
  12. "Spinal cord stimulation in patients with chronic reflex sympathetic dystrophy", 343, pp.618~24 (2000)
  13. "Spinal cord stimulation:mechanisms of action", 27, pp.2574~83 (2002)
  14. "Complex regional pain syndromes: including reflex sympathetic dystrophy and causalgia", 25, pp.113~25 (1997)
  15. "Cervical spinal cord stimulation in a patient with complex regional pain syndrome in the upper extremity", 17, pp.243~7 (2004)
  16. "The cost effectiveness of spinal cord stimulation in the treatment of pain:a systematic review of the literature", 27, pp.370~8 (2004)

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