A Case of Intractable Chest Pain of Unknown Origin which was Suspicious of Complex Regional Pain Syndrome Type I: A case report. |
Soon Yong Jin, Young Jin Han, Huhn Choe |
Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea. yjhan@chonbuk.ac.kr |
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Abstract |
Complex regional pain syndrome (CRPS) type I is an intractable pain syndrome accompanied with autonomic nerve symptoms, but without certain evidence of nerve injury. It is mainly caused by trauma, such as, fracture, sprain, contusion, etc., and is characterized by, pain (either by contact or spontaneously), allodynia, hyperalgia, vasomotor, and autonomic changes (including variable skin color changes), temperature change, swelling, edema, sweating, trophic change, and motor disturbance. We report the case of a 60-year-old woman who had suffered from severe pain on the right chest for several years. She was satisfactorily treated by pharmacologic therapy and continuous epidural nerve block. |
Key Words:
complex regional pain syndrome type I; epidural nerve block |
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