Complex Regional Pain Syndrome of Non-hemiplegic Upper Limb in a Stroke Patient: A Case Report
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 a...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Korean Academy of Rehabilitation Medicine
2018-02-01
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| Series: | Annals of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | http://www.e-arm.org/upload/pdf/arm-42-175.pdf |
| _version_ | 1797723116689948672 |
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| author | Ahry Lee Youjin Jung Hee-Kyu Kwon Sung-Bom Pyun |
| author_facet | Ahry Lee Youjin Jung Hee-Kyu Kwon Sung-Bom Pyun |
| author_sort | Ahry Lee |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T09:57:16Z |
| format | Article |
| id | doaj.art-43dba7b5b722443a98cd964bf0e66a4a |
| institution | Directory Open Access Journal |
| issn | 2234-0645 2234-0653 |
| language | English |
| last_indexed | 2024-03-12T09:57:16Z |
| publishDate | 2018-02-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj.art-43dba7b5b722443a98cd964bf0e66a4a2023-09-02T12:02:58ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532018-02-0142117517910.5535/arm.2018.42.1.175936Complex Regional Pain Syndrome of Non-hemiplegic Upper Limb in a Stroke Patient: A Case ReportAhry Lee0Youjin Jung1Hee-Kyu Kwon2Sung-Bom Pyun3Department of Physical Medicine and Rehabilitation, Korea University Anam Hospital, Seoul, Korea.Department of Physical Medicine and Rehabilitation, Korea University Anam Hospital, Seoul, Korea.Department of Physical Medicine and Rehabilitation, Korea University Anam Hospital, Seoul, Korea.Department of Physical Medicine and Rehabilitation, Korea University Anam Hospital, Seoul, Korea.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.http://www.e-arm.org/upload/pdf/arm-42-175.pdfComplex regional pain syndromesStrokeDiffusion tensor imaging |
| spellingShingle | Ahry Lee Youjin Jung Hee-Kyu Kwon Sung-Bom Pyun Complex Regional Pain Syndrome of Non-hemiplegic Upper Limb in a Stroke Patient: A Case Report Annals of Rehabilitation Medicine Complex regional pain syndromes Stroke Diffusion tensor imaging |
| title | Complex Regional Pain Syndrome of Non-hemiplegic Upper Limb in a Stroke Patient: A Case Report |
| title_full | Complex Regional Pain Syndrome of Non-hemiplegic Upper Limb in a Stroke Patient: A Case Report |
| title_fullStr | Complex Regional Pain Syndrome of Non-hemiplegic Upper Limb in a Stroke Patient: A Case Report |
| title_full_unstemmed | Complex Regional Pain Syndrome of Non-hemiplegic Upper Limb in a Stroke Patient: A Case Report |
| title_short | Complex Regional Pain Syndrome of Non-hemiplegic Upper Limb in a Stroke Patient: A Case Report |
| title_sort | complex regional pain syndrome of non hemiplegic upper limb in a stroke patient a case report |
| topic | Complex regional pain syndromes Stroke Diffusion tensor imaging |
| url | http://www.e-arm.org/upload/pdf/arm-42-175.pdf |
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