Computed tomography guided lumbar sympathetic block for complex regional pain syndrome in a child: A case report and review

The aim of this paper is to describe the first reported use of computed tomography (CT) guided lumbar sympathetic block as treatment of a case of complex regional pain syndrome (CRPS) in a child. The potential aetiology of CRPS is discussed in relation to the mechanism of action of local anaesthetic...

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Bibliographic Details
Published in:European journal of pain 2006-07, Vol.10 (5), p.409-409
Main Authors: Nordmann, Giles R., Lauder, Gillian R., Grier, David J.
Format: Article
Language:English
Subjects:
Allodynia
Amines - therapeutic use
Amitriptyline - therapeutic use
Analgesics - therapeutic use
Anesthetics, Local - administration & dosage
Anesthetics, Local - therapeutic use
Antidepressive Agents, Tricyclic - therapeutic use
Autonomic Nerve Block - methods
Back
Cerebral palsy
Cerebral Palsy - complications
Child
Complex regional pain syndrome (CRPS)
Complex Regional Pain Syndromes - psychology
Complex Regional Pain Syndromes - therapy
Computed tomography (CT)
Cyclohexanecarboxylic Acids - therapeutic use
Female
gamma-Aminobutyric Acid - therapeutic use
Guanethidine - therapeutic use
Humans
Hyperalgesia
Infant, Newborn
Infant, Premature
Paediatric
Pain - etiology
Pain - psychology
Retroperitoneal Space
Sympathetic
Sympatholytics - therapeutic use
Tomography, X-Ray Computed
Transcutaneous Electric Nerve Stimulation
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Summary:The aim of this paper is to describe the first reported use of computed tomography (CT) guided lumbar sympathetic block as treatment of a case of complex regional pain syndrome (CRPS) in a child. The potential aetiology of CRPS is discussed in relation to the mechanism of action of local anaesthetics used in the block. Based on the successful treatment of this child and the documented success of its use in adults, we conclude that despite the minimal dose of radiation given, CT guided lumbar sympathetic block is an important treatment option in CRPS in children.
ISSN:1090-3801
1532-2149
DOI:10.1016/j.ejpain.2005.05.006