Reflex sympathetic dystrophy associated with deep peroneal nerve entrapment

Reflex sympathetic dystrophy (RSD or causalgia) has been rarely reported in children. We now report a 10-year-old boy with RSD in whom we performed extensive ancillary investigations including thermography, bone scintigraphy and dermo-echography. The clinical, laboratory and ancillary studies report...

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Bibliographic Details
Published in:Brain & development (Tokyo. 1979) 1998-03, Vol.20 (2), p.80-82
Main Authors: Parano, Enrico, Pavone, Vito, Greco, Filippo, Majorana, Marcello, Trifiletti, Rosario R
Format: Article
Language:English
Subjects:
Biological and medical sciences
Causalgia
Causalgia - diagnostic imaging
Causalgia - etiology
Causalgia - physiopathology
Child
Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction
Entrapment neuropathy
Humans
Male
Medical sciences
Nerve Compression Syndromes - complications
Nerve Compression Syndromes - diagnostic imaging
Nerve Compression Syndromes - surgery
Nervous system (semeiology, syndromes)
Neurology
Peroneal nerve
Peroneal Nerve - diagnostic imaging
Peroneal Nerve - physiopathology
Peroneal Nerve - surgery
Radionuclide Imaging
Radiopharmaceuticals
Reflex sympathetic dystrophy
Scintigraphy
Technetium Tc 99m Medronate
Thermography
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Summary:Reflex sympathetic dystrophy (RSD or causalgia) has been rarely reported in children. We now report a 10-year-old boy with RSD in whom we performed extensive ancillary investigations including thermography, bone scintigraphy and dermo-echography. The clinical, laboratory and ancillary studies reported here highlight the profound focal acquired autonomic disturbance in this disorder. The patient presented a compression of the deep peroneal nerve at the inferior extensor retinaculum in the affected limb. Surgical decompression lead to rapid improvement of the patient's condition. Peripheral nerve decompression should be considered as a possible treatment of RSD in children, particularly those that are refractory to conservative maneuvers.
ISSN:0387-7604
1872-7131
DOI:10.1016/S0387-7604(97)00106-X