Chandrakant Pilania, Megha Bhargava, Nitesh M. Gonnade, Himanshu Agrawal
{"title":"传统射频消融治疗椎板切除术和椎间盘切除术引发的复杂区域疼痛综合征","authors":"Chandrakant Pilania, Megha Bhargava, Nitesh M. Gonnade, Himanshu Agrawal","doi":"10.4103/ijpmr.ijpmr_27_23","DOIUrl":null,"url":null,"abstract":"Complex regional pain syndrome (CRPS) following lumbar spine surgery is a rare and underdiagnosed clinical entity. This case report discusses CRPS of the left lower limb following lumbar spine laminectomy and discectomy done for left lumbar radiculopathy secondary to disc herniation. CRPS was diagnosed by the exclusion of other possible diagnoses. The Budapest Criteria were applied for a definitive diagnosis. We treated the patient with conventional radio-frequency ablation of the sympathetic ganglion at L2 and L4 after a successful diagnostic block. He had significant relief in pain for the next 6 months.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"33 1","pages":"133 - 136"},"PeriodicalIF":0.0000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Conventional radio-frequency ablation in laminectomy- and discectomy-induced complex regional pain syndrome\",\"authors\":\"Chandrakant Pilania, Megha Bhargava, Nitesh M. Gonnade, Himanshu Agrawal\",\"doi\":\"10.4103/ijpmr.ijpmr_27_23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Complex regional pain syndrome (CRPS) following lumbar spine surgery is a rare and underdiagnosed clinical entity. This case report discusses CRPS of the left lower limb following lumbar spine laminectomy and discectomy done for left lumbar radiculopathy secondary to disc herniation. CRPS was diagnosed by the exclusion of other possible diagnoses. The Budapest Criteria were applied for a definitive diagnosis. We treated the patient with conventional radio-frequency ablation of the sympathetic ganglion at L2 and L4 after a successful diagnostic block. He had significant relief in pain for the next 6 months.\",\"PeriodicalId\":220492,\"journal\":{\"name\":\"Indian Journal of Physical Medicine & Rehabilitation\",\"volume\":\"33 1\",\"pages\":\"133 - 136\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Physical Medicine & Rehabilitation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/ijpmr.ijpmr_27_23\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Physical Medicine & Rehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/ijpmr.ijpmr_27_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Conventional radio-frequency ablation in laminectomy- and discectomy-induced complex regional pain syndrome
Complex regional pain syndrome (CRPS) following lumbar spine surgery is a rare and underdiagnosed clinical entity. This case report discusses CRPS of the left lower limb following lumbar spine laminectomy and discectomy done for left lumbar radiculopathy secondary to disc herniation. CRPS was diagnosed by the exclusion of other possible diagnoses. The Budapest Criteria were applied for a definitive diagnosis. We treated the patient with conventional radio-frequency ablation of the sympathetic ganglion at L2 and L4 after a successful diagnostic block. He had significant relief in pain for the next 6 months.