Ramírez-Gómez M, Schlufter-Stolberg RM, Silva-Jiménez A, López-García S, Reséndiz-Vargas S

Language: Spanish
References: 17
Page: 253-257
PDF size: 56.00 Kb.

ABSTRACT

One of the etiologies of complex regional pain syndrome type II is the increased activity of the sympathetic chain. In this report is on a 29-year-old patient with complex regional pain syndrome type II in the right upper extremity and severe chronic neuropathic pain rated VAS 10. History of physical effort that resulted in tenosynovitis and non-traumatic subluxation of the right upper extremity,which it was managed with conservative and surgical treatment without improvement in the algic picture algaecide. Severe neuropathic pain only responded to invasive management with stellate ganglion block using local anesthetics, this encouraged us to apply a definitive treatment performing endoscopic transthoracic sympathectomy, yielding an excellent response and a decrease in VAS to 2. We conclude that transthoracic endoscopic sympathectomy is an effective and sympathetically maintained complex regional pain syndrome type II.

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