Annals of African Medicine

CASE REPORT
Year
: 2020  |  Volume : 19  |  Issue : 1  |  Page : 68--70

Complex regional pain syndrome: A case report and review of the literature


Nura H Alkali1, Abdulrahman M Al-Tahan2, Mohammad Al-Majed3, Husam Al-Tahan4 
1 Department of Medicine, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Bauchi State, Nigeria
2 Department of Medicine, King Saud University College of Medicine, Dallah Hospital, Riyadh, Saudi Arabia
3 Department of Anaesthesia, King Saud University College of Medicine, Riyadh, Saudi Arabia
4 Department of Orthopedics, King Saud Bin Abdulaziz University, Riyadh, Saudi Arabia

Correspondence Address:
Dr. Nura H Alkali
Department of Medicine, Abubakar Tafawa Balewa University Teaching Hospital, PMB 0117, Bauchi, Bauchi State
Nigeria

Background: Complex regional pain syndrome (CRPS) is a rare neuropathic pain disorder associated with severe pain, muscle weakness, limb edema and hyperhidrosis. Predisposing factors include fracture, surgery, stroke and spinal cord injury. CRPS may recur in the same limb or spread to other limbs to complicate management. Case Report: A 20-year old female with CRPS Type-I had sequential spread to all four limbs despite different treatment modalities, including medical therapy, nerve block, radiofrequency ablation and surgical sympathectomy. We discuss the therapeutic challenges and reviewed recent literature on current treatment options for CRPS Type-I. Conclusion: A multidisciplinary approach is needed for effective management of CRPS, and refractory disease may respond to intrathecal baclofen with morphine.


How to cite this article:
Alkali NH, Al-Tahan AM, Al-Majed M, Al-Tahan H. Complex regional pain syndrome: A case report and review of the literature.Ann Afr Med 2020;19:68-70


How to cite this URL:
Alkali NH, Al-Tahan AM, Al-Majed M, Al-Tahan H. Complex regional pain syndrome: A case report and review of the literature. Ann Afr Med [serial online] 2020 [cited 2020 May 27 ];19:68-70
Available from: http://www.annalsafrmed.org/article.asp?issn=1596-3519;year=2020;volume=19;issue=1;spage=68;epage=70;aulast=Alkali;type=0