Intravenous anesthesia


Anesthesia and Pain Medicine. 2005 Dec. 9(4): 224-227
ⓒ Korean Society for Intravenous Anesthesia
A Case of Treatment of Complex Regional Pain Syndrome Type I Developed in 50 Years after Amputation -A case report-
Dong Hee Kim, M.D., Seung Hwan Kang, M.D., and Jong Il Eun, M.D.
Department of Anesthesiology and Pain Medicine, College of Medicine, Dankook University, Cheonan, Korea

Complex regional pain syndrome I (CRPS I) has various clinical features, and it is hard to treat. It can be triggered by trauma, visceral disease, the disease of central nervous system and even no accident precedent. We present a case of CRPS I which was developed on the lesion amputated 50 years ago and effectively managed by combination therapy of stellate ganglion block (SGB) and gabapentin medication. A 75-year-old man with a right-hand-pain on first and third metacarpal region visited our pain clinic. It was 3 months ago to develop symptoms. He had a history of amputation on the present lesion and no other accident precedent. His pain was 10 out of 10 by visual analogue scale and associated with burning, electrical, shooting, throbbing, pressing and hyperalgesic features. His lesion had a discoloration and atrophic change. We treated him by SBG and gabapentin and the treatment was very impressive.
Key words : amputation, complex regional pain syndrome type I, gabapentin, stellate ganglion block.
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