Reflex Sympathetic Dystrophy-Neurosurgical Approaches

摘要: This review will examine the surgical approaches to treatment of neural injury pain especially as it relates sympathetic system. Difficulties arise when one attempts fit RSD into this setting. might be used describe any complex deafferentation or central pain, including posttraumatic syndrome where element may subclinical, which presents with hyperfunetion (1). occurs in 5% all cases trauma (2). The term is often interchangeably Sudeck’s atrophy (3), causalgia, minor shoulder-hand syndrome, spreading neuralgia, sympathalgia, chronic traumatic edema, algoneurodystrophy (1,4). It precipitated by fracture 50% but blunt trauma, inflammation, laceration, surgery, soft tissue injury, injection, angina pectoris, vascular disease, myocardial infarct, osteoarthritis, frostbite and burns have been identified causes. diffuse limited a single finger; though commoner adults, also young; has described association injuries peripheral nerves, carpal tarsal tunnel lumbar cervical disc cord lesions, post-herpetic neuralgia stroke (1, 5–18). In 333 consecutive personal (19), author found evidence 9 patients. occurred 1% those caused nerve amputation-related group, associated disease. Two percent patients brachial plexus lesions 4% were affected. was not seen our post-thoracotomy disease pain.