Continuous Epidural Block in a 6 Year old Girl with Causalgia

6세 소녀의 하지 작열통에 대한 지속적 경막외 차단

  • Han, Chung-Sun (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) ;
  • Chung, Kyung-Suk (Department of Anesthesiology, Kyungju College of Medicine, Dong Guk University)
  • 한정선 (연세대학교 의과대학 마취과학교실) ;
  • 윤덕미 (연세대학교 의과대학 마취과학교실) ;
  • 오흥근 (연세대학교 의과대학 마취과학교실) ;
  • 정경숙 (동국대학교 경주의과대학 마취과학교실)
  • Published : 1991.11.23

Abstract

Causalgia is an extremely incapacitating disease often associated with a major peripheral nerve injury, which is characterized by sustained diffuse burning pain, allodynia and hyperpathia. The condition follows traumatic nerve lesions, often combined with vasomotor and sudomotor disturbances and later trophic changes. While sympathectomy has been the classical treatment of causalgia, others nonsurgical therapies such as regional sympathetic block, IV regional sympathetic block, oral adrenolytic drugs, transcutaneous electrical nerve simulation, physical theraphy, cryotheraphy and psychotheraphy have been used. Causalgia is rare in children and early treatment is controversial because of the possibility of many different complications following aggressive treatment. This is a report of a 6-year-old girl with causalgia suffered after a right posterior tibial nerve injury following an intragluteal injection of an antipyretics. We successfully treated this syndrome with continuous epidural block using 0.5% lidocaine and no specific complication was encountered.

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