Complex Regional Pain Syndrome of Non-hemiplegic Upper Limb in a Stroke Patient: A Case Report
Annals of Rehabilitation Medicine
;
: 175-179, 2018.
Article
in English
| WPRIM
| ID: wpr-739810
ABSTRACT
Complex regional pain syndrome (CRPS) type I in stroke patients is usually known to affect the hemiplegic upper limb. We report a case of CRPS presented in an ipsilesional arm of a 72-year-old female patient after an ischemic stroke at the left middle cerebral artery territory. Clinical signs such as painful range of motion and hyperalgesia of her left upper extremity, swollen left hand, and dystonic posture were suggestive of CRPS. A three-phase bone scintigraphy showed increased uptake in all phases in the ipsilesional arm. Diffusion tensor tractography showed significantly decreased fiber numbers of the corticospinal tract and the spinothalamic tract in both unaffected and affected hemispheres. Pain and range of motion of the left arm of the patient improved after oral steroids with a starting dose of 50 mg/day.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arm
/
Posture
/
Pyramidal Tracts
/
Spinothalamic Tracts
/
Steroids
/
Radionuclide Imaging
/
Range of Motion, Articular
/
Middle Cerebral Artery
/
Complex Regional Pain Syndromes
/
Stroke
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Annals of Rehabilitation Medicine
Year:
2018
Type:
Article
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