COMPLEX REGIONAL PAIN SYNDROME (CRPS) DIAGNOSIS : A CASE REPORT

S. Kurniawan, Made Ayu Hariningsih Sunaga, Sri Budi Rianawati, Masruroh Rahayu
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Abstract

Complex regional pain syndrome (CRPS) is a term that describes a variety of chronic pain conditions that are believed to result from dysfunction in the central or peripheral nervous systems. Epidemiological data from 2 major studies show a CRPS incidence between 5.5 and 26.2 cases per 100,000 people per year. A women, 35 years old came to the neurologic policlinic with complain of persistent pain in half left body since a year ago. Pain characteristic was pains and needles sensation, sometimes numbness, tingling that spreaded from left neck until left fingers.we found vasomotor, sensoric and motoric disorder that appropriated with budapest criteria. To diagnose CRPS need to holistic examination and deeper anamnesa to prevent wrong diagnosis. Pain treatment in this patient was not easy. She already has undergone 7 times epidural block and taken medicines nevertheless quality of pain decreased in small number with VAS score 7-8.
复杂区域性疼痛综合征(crps)诊断1例
复杂局部疼痛综合征(CRPS)是一种描述各种慢性疼痛状况的术语,被认为是由中枢或周围神经系统功能障碍引起的。两项主要研究的流行病学数据显示,CRPS的发病率为每年每10万人5.5至26.2例。女性,35岁,因左半身体持续疼痛一年前来到神经科就诊。疼痛的特点是疼痛和针感,有时麻木,刺痛,从左颈部扩散到左手手指。我们发现血管舒缩、感觉和运动障碍符合布达佩斯标准。诊断CRPS需全面检查,加深记忆,防止误诊。该患者的疼痛治疗并不容易。患者已接受7次硬膜外阻滞和药物治疗,但仍有少数患者疼痛质量下降,VAS评分为7-8分。
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