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Journal of the Korean Academy of Rehabilitation Medicine 2007;31(5):609-615.
Therapeutic Experience in a Patient with Complex Regional Pain Syndrome Related to Brachial Plexitis: A case report.
Jung, Sung Hwan , Choi, In Sung , Kim, Jae Hyung , Lee, Sam Gyu
Department of Physical and Rehabilitation Medicine, Research Institute of Medical Sciences, Chonnam National University Medical School, Korea. sam91@jnu.ac.kr
상완신경총염과 관련된 복합국소동통증후군 환자에서의 치료적 경험 - 증례 보고 -
정성환, 최인성, 김재형, 이삼규
전남대학교 의과대학 재활의학교실, 의과학연구소
We report our therapeutic experience in a patient with complex regional pain syndrome (CRPS) related to brachial plexitis. A 16-year-old female suffered from excruciating burning pain and allodynia abruptly developed on left shoulder. Cervical MRI was normal. Electrodiagnostic findings were compatible with acute brachial plexopathy. Hand swelling, dystrophic color change, desquamation, and anhidrosis were displayed. Three-phase bone scan revealed increased radio-uptake on left upper extremity. The course of the disease was slowly progressive with wax and wane pattern. Pain became gradually intractable to all therapeutic modalities and medications. She gradually improved with long-term multimodal pain management. After 2 years of disease-free period, CRPS recurred and the extent was more severe than the first attack. We tried oral mexiletine, risedronate, high dose multi-vitamin, and leukotriene modulator which were effective in reducing pain and allodynia. Hand swelling gradually subsided and functional regain was obtained. (J Korean Acad Rehab Med 2007; 31: 609-615)
Key Words: Complex regional pain syndrome, Brachial plexus neuritis, Rehabilitation


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