The Korean Journal of Pain
- Volume 10 Issue 2
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- Pages.274-277
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- 1997
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- 2005-9159(pISSN)
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- 2093-0569(eISSN)
A Case of CRPS Treated with Implantable Port System -A case report-
Implantable Port System을 이용한 복합부위통증증후군 치험 1예 -증례 보고-
- Shin, Sung-Shick (Pain Clinic, Hyundae Hospital) ;
- Kim, Tae-Sam (Department of Anesthesiology, Kwangju Veterans Hospital) ;
- Yang, In-Sook (Department of Anesthesiology, Kwangju Veterans Hospital)
- Published : 1997.11.22
Abstract
The complex regional pain syndrome(CRPS) exhibit symptoms such as: abnormal skin color, temperature change, abnormal pseudomotor activity, edema. If CRPS is not treated appropriately at acute stage, then the affected extremity may become a useless, painful appendage. Treatment of CRPS by sympathetic blockade may be achieved by repeated intravenous regional guanethidine blocks, repeated anesthetic sympathetic blocks, surgical sympathectomy or oral sympatholytic therapy. We treated 29-year-old male patient with CRPS of left upper extremity by continuous cervical epidural blockade. Due to wound infection and dislocation of the epidural catheter, we inserted an implantable port system to inject the mixture of local anesthetics and small amount of morphine. After 10 months of treatment, patient was cured of symptoms and signs of CRPS and was able to resume a normal life.