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KMID : 0363119940070010096
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Korean Journal of Pain
1994 Volume.7 No. 1 p.96 ~ p.99
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A Case of Causalgia with Contracture Deformity in Lower Extremity
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Abstract
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Causalgia is a symptom complex usually consisting of burning pain, hyperesthesia and atrophy of the involved extremity. The pain may be aggravated by contact, motion of extremity or emotional excitement. It occurs following incomplete nerve
injury.
The patients was a 58-year-old male with a 3-year history of causalgic pain of left lower extremity. He had multiple fractures with degloving injury of left lower extremity in an automobile accident. The pain was exacerbated by movement, and he
experienced knee joint and ankle joint contracture.
The patient's pain decreased after continuous epidural block with 1% lidocaine and 0.25% bupivacaine. He also received lumbar sympathetic ganglion alcohol block resulting in much improvement of level of pain and walking disturbance.
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