• A&A practice · May 2020

    Case Reports

    Multiple Limb Involvement in a Severe Case of Complex Regional Pain Syndrome Treated With Spinal Cord Stimulation: A Case Report.

    • Linda E Eriksen, Astrid J Terkelsen, Sørensen Jens Christian H JCH From the Department of Neurology and Danish Pain Research Center, Department of Neurosurgery., Anne Lene H Knudsen, and Kaare Meier.
    • From the Department of Neurology and Danish Pain Research Center, Department of Neurosurgery.
    • A A Pract. 2020 May 1; 14 (7): e01224.

    AbstractComplex regional pain syndrome (CRPS) can be a debilitating, persistent, and treatment-resistant pain condition. This report presents a case of severe CRPS affecting multiple limbs, resistant to standard treatment modalities. Treatment with spinal cord stimulation (SCS) had an initial good effect. Nevertheless, the CRPS continued to progress, eventually affecting all 4 extremities. A lead fracture resulted in a rapidly developing recurrence of CRPS in the patient's arm, necessitating amputation. SCS may be an effective modality for treatment of severe CRPS. However, mechanical problems should always be considered when an SCS-implanted patient experiences rapid symptom progression or abrupt cessation of stimulation.

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