Clinical course of a complex regional pain syndrome type II in upper limb.

Acta ortopedica mexicana Pub Date : 2023-07-01
J L Osma-Rueda, J Amaya-Mujica, E Berdugo-Pereira, M V Chaparro-Merchán
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Abstract

Introduction: the complex regional pain syndrome type II, also called causalgia, is a rare clinical condition that appears after a traumatic or surgical event with evidence of nervous system involvement. Its clinical presentation is the consequence of a multifactorial pathogenic process that involves peripheral and central mechanisms and has variable clinical manifestations. We present the photographic record of a patient with complex regional syndrome type II.

Clinical case: 43-year-old patient who consulted for neuropathic pain during the last four years, of severe intensity, associated with sensory, vasomotor and trophic changes in the right upper limb, as a consequence of neurectomy of the palmar digital nerves of the third finger.

Conclusion: achieving the photographic record of the clinical phases of complex regional pain syndrome type II in its entirety is difficult, because not all patients present all clinical phases, a fact that gives relevance to this case.

上肢复杂区域疼痛综合征 II 型的临床过程。
导言:II 型复杂区域疼痛综合征又称因果痛,是一种罕见的临床病症,在创伤或手术后出现,有证据表明神经系统受累。其临床表现是多因素致病过程的结果,涉及外周和中枢机制,临床表现各异。我们展示了一名复杂区域综合征 II 型患者的照片记录:43岁的患者,在过去四年中因神经病理性疼痛就诊,疼痛剧烈,伴有右上肢感觉、血管运动和营养性改变,是第三指掌侧数字神经切除术的后果。结论:要完整记录II型复杂区域疼痛综合征的临床阶段是很困难的,因为并非所有患者都会出现所有临床阶段,这一事实使本病例具有现实意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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