A surgical approach to complex regional pain syndrome with neurogenic thoracic outlet syndrome in a reoperation patient.
| Autor: | Crawley WT; HCA HealthOne - Swedish Medical Center, Department of Graduate Medical Education, 601 E Hampden, Suite 220, Englewood, CO 80113, USA., Backen T; HCA HealthOne - Swedish Medical Center, Department of Graduate Medical Education, 601 E Hampden, Suite 220, Englewood, CO 80113, USA., Melendez B; Vascular Institute of the Rockies (VIR), 4105 E Florida Ave., Denver, CO 80222, USA., Annest S; Vascular Institute of the Rockies (VIR), 4105 E Florida Ave., Denver, CO 80222, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Pain management [Pain Manag] 2024; Vol. 14 (8), pp. 401-406. Date of Electronic Publication: 2024 Sep 24. |
| DOI: | 10.1080/17581869.2024.2402213 |
| Abstrakt: | Thoracic outlet syndrome (TOS) and complex regional pain syndrome (CRPS) are two etiologies of chronic pain. TOS is a group of conditions that occur due to compression of the neurovascular structures of the upper extremity while CRPS is a disorder characterized by chronic and unremitting pain. This case highlights the experience of a 22-year-old female who presented following a traumatic injury to her left arm and was initially diagnosed with neurogenic TOS and later CRPS. Over a 10-year-period, she underwent a total of four operations to try and address her debilitating pain. In our third-time reoperation, symptoms of both pathologies nearly completely resolved with extensive neurolysis of the left brachial plexus and application of a scar tissue barrier. |
| Databáze: | MEDLINE |
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