Complex regional pain syndrome as a stress response
Autor: | Lucinda A Grande, Judy Ozuna, Ali Samii, John D. Loeser, Alexandra Ashleigh |
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Rok vydání: | 2003 |
Předmět: |
Male
medicine.medical_specialty Exacerbation Traumatic brain injury Cognitive disorder Middle Aged medicine.disease Traumatic memories Antidepressive Agents Fight-or-flight response Stress Disorders Post-Traumatic Anesthesiology and Pain Medicine Complex regional pain syndrome Neurology medicine Physical therapy Humans Memory disorder Neurology (clinical) Psychiatry Psychology Conversion disorder Complex Regional Pain Syndromes Antipsychotic Agents |
Zdroj: | Pain. 110(1-2) |
ISSN: | 0304-3959 |
Popis: | A man in his 50's with a prior traumatic brain injury and multiple psychiatric disorders developed acute pain and swelling in his left leg distal to the mid shin. These symptoms arose during an exacerbation of his post-traumatic stress disorder (PTSD). Among his traumatic memories, he reported having witnessed the combat injury and death of a friend who had lost his left leg distal to the mid shin. A diagnosis of conversion disorder was technically excluded because the findings met criteria for Complex Regional Pain Syndrome (CRPS) type I. Based on recent research into the neurobiology of CRPS, PTSD and conversion disorder, we propose a supraspinal mechanism which could explain how emotional stress can produce both symptoms and signs. |
Databáze: | OpenAIRE |
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