Clinical Report Reflex Sympathetic Dystrophy Associated With Multiple Lumbar Laminectomies
نویسندگان
چکیده
Reflex sympathetic dystrophy (RSD) is an often devastating chronic pain condition that can develop following relatively trivial traumatic events. The precise mechanism and predisposing factors governing the development and progression of this syndrome are not completely understood. However, RSD most commonly presents distally in an extremity following injury to the limb. Rarely has it been reported following lumbar laminectomy or ruptured lumbar disc (1, 2). Of those cases reported, the RSD was relatively acute, mild, and unilateral (1-3). We present a case of severe, chronic, bilateral RSD following multiple laminectomies and propose a possible mechanism to explain these findings.
منابع مشابه
سندروم دیستروفی سمپاتیکی واکنشی به دنبال مصرف سیکلوسپورین در بیمار مبتلا به GVHD پس از پیوند مغز استخوان: گزارش موردی
Background: Reflex Sympathetic Dystrophy Syndrome (RSDS) is a rarely described complication which characterized by pain, edema, movement and vasomotor disorders, trophic changes in the skin and patchy demineralization of bone in extremities. There are numerous risk factors such as trauma, surgery, myocardial infraction and drugs. Cyclosporine (CsA) is one of the drugs which can induce RSDS. Ca...
متن کاملRelationship between Anxiety, Depression, and Personality Type and the Incidence of Reflex Sympathetic Dystrophy in Patients with Distal Radius Fracture
Background: There is inconsistent information about the role of psychological factors in the incidence of reflex sympathetic dystrophy (RSD) in patients with distal radius fractures. The present study was thus undertaken to evaluate the relationship between some of these factors and the occurrence of reflex sympathetic dystrophy in patients with distal radius fracture. Methods: One hundred and ...
متن کاملOlecranon Bursitis Causing Reflex Sympathetic Dystrophy Syndrome in a Hemiplegic Extremity
Olecranon bursitis is rarely seen in patients with stroke, but reflex sympathetic dystrophy syndrome is not. Here, we report a stroke case, which represented the clinical symptom of reflex sympathetic dystrophy syndrome after development of olecranon bursitis in few days, and describe his clinical association between both conditions. Sonographicpicture of the right elbow in this case is shown.
متن کاملCarpal tunnel syndrome complicated by reflex sympathetic dystrophy syndrome.
This report describes three patients with reflex sympathetic dystrophy complicating carpal tunnel syndrome. Pain disproportionate and more diffuse than that commonly associated with carpal tunnel syndrome suggested the associated diagnosis in each patient and facilitated prompt management.
متن کاملClinical note Amputation and reflex sympathetic dystrophy
Reflex sympathetic dystrophy is a chronic pain syndrome characterized by chronic burning pain, restricted range of motion, oedema and vasolability. Patients are difficult to treat and the prognosis is very often poor. This report emphasizes that an amputation in case of a reflex sympathetic dystrophy is mostly due to a too late recognition of this syndrome. In the international literature littl...
متن کامل