The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

A Case of Causalgia with Contracture Deformity in Lower Extremity

좌측 하지의 관절구축을 동반한 작열통의 치험

  • Yang, Seung-Kon (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Yoon, Duck-Mi (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Oh, Hung-Kun (Department of Anesthesiology, Yonsei University College of Medicine)
  • 양승곤 (연세대학교 의과대학 마취과학교실 통증치료실) ;
  • 윤덕미 (연세대학교 의과대학 마취과학교실 통증치료실) ;
  • 오흥근 (연세대학교 의과대학 마취과학교실 통증치료실)
  • Published : 1994.05.30
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Abstract

Causalgia is a symptom complex usually consisting of burning pain, hyperesthesia and atrophy of the involved extremity. The pain may be aggravated by contact, motion of extremity or emotional excitement. It occurs following incomplete nerve injury. The patient was a 58-year-old male with a 3-year history of causalgic pain of left lower extremity. He had multiple fractures with degloving injury of left lower extremity in an automobile accident. The pain was exacerbated by movement, and he experienced knee joint and ankle joint contracture. The patient's pain decreased after continuous epidural block with 1% lidocaine and 0.25% bupivacaine. He also received lumbar sympathetic ganglion alcohol block resulting in much improvement of level of pain and walking disturbance.

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