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Treatment experience in a patient of complex regional pain syndrome combined with secondary lymphedema of lower extremity

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Author(s)
Ji Hee HongSeung Ju Kim
Keimyung Author(s)
Hong, Ji Hee
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Anesth Pain Med
Issued Date
2023
Volume
18
Issue
1
Keyword
Complex regional pain syndromeLeg edemaLymphatic fluidLymphedemaLymphoscintigraphySpinal cord stimulation
Abstract
Background:
Lymphedema is characterized by localized tissue swelling due to excessive interstitial space retention of lymphatic fluid. Lymphedema is easy to be misdiagnosed since itresembles other conditions of extremity swelling. We present a case of complex regionalpain syndrome (CRPS) type I with secondary lymphedema that was successfully managedwith spinal cord stimulation (SCS).

Case:
A 39-year-old female patient came to our pain clinic with complaints of lower extremity pain and edema. To find out reason of leg edema, computed tomography of extremity angiography and blood test were performed. However, all of evaluations were normal. Lastlyperformed lymphoscintigraphy showed secondary lymphedema. SCS was performed and itshowed dramatic reduction subsequent to implantation of SCS.

Conclusions:
We could successfully manage the intractable pain and edema in CRPS combined with lymphedema. If a patient presents different nature of edema, coexistence of other disease needs to be considered.
Keimyung Author(s)(Kor)
홍지희
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2383-7977
Source
https://www.anesth-pain-med.org/journal/view.php?doi=10.17085/apm.22239
DOI
10.17085/apm.22239
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44788
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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