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KMID : 0363120020150020183
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Korean Journal of Pain
2002 Volume.15 No. 2 p.183 ~ p.189
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A Case of Treatment of Complex Regional Pain syndrome Type Ⅱ after Peroneal Nerve Injury
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Yea Sang-Hee
Han Kyung-Ream
Park Kwan-Sik
Lee Hyo-Keun
Kim Chan
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Abstract
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A 41-year-old-male patient presented with burning pain, mild hypesthesia and marked allodynia on his left lateral lower leg and dorsum of the foot after right adrenalectomy, 40 days prior. The dorsiflexion of his left great toe and ankle and the inversion of his left ankle were weakened. He couldn’t wear his left shoe and had a limping gait. He was taking the oral medication prescribed by neurologist for 2 weeks but his symptoms were not relieved.
Under the diagnosis of complex regional pain syndrome type II caused by left common peroneal nerve injury, nerve blocks including continuous epidural block, lumbar sympathetic ganglion block, left lumbar fifth root block ad common peroneal nerve block and intravenous ketamine infusion were performed.
His pain decreased markedly 12 weeks after treatment (visual analogue scale, VAS 9/10→1/10). And he is able to wear shoes and walk well without discomfort.
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KEYWORD
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Complex regional pain syndrome type Ⅱ, Peroneal nerve inhury
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