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KMID : 0363120100230010070
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Korean Journal of Pain
2010 Volume.23 No. 1 p.70 ~ p.73
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Management of Complex Regional Pain Syndrome Type 1 With Total Spinal Block
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Ok Se-Jin
Lee Yoon-Sook
Son Joo-Hyung
Kim Woon-Young
Park Young-Cheol
Yang Jong-Yeun
Jeong Won-Ju
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Abstract
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Complex regional pain syndrome (CRPS) is a painful and disabling disorder that can affect one or more extremities. Unfortunately, the knowledge concerning its natural history and mechanism is very limited and many current rationales in treatment of CRPS are mainly dependent on efficacy originated in other common conditions of neuropathic pain. Therefore, in this study, we present a case using a total spinal block (TSB) for the refractory pain management of a 16-year-old male CRPS patient, who suffered from constant stabbing and squeezing pain, with severe touch allodynia in the left upper extremity following an operation of chondroblastoma. After the TSB, the patient’s continuous and spontaneous pain became mild and the allodynia disappeared and maintained decreased for 1 month.
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KEYWORD
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complex regional pain syndrome, total spinal block
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