Atypical reflex sympathetic dystrophy and paravertebral sympathetic block

A. Stav, M. Landau, L. Ovadia, R. Sevi, N. Weksler, A. Sternberg

Research output: Contribution to journalArticlepeer-review

Abstract

This is the report of a young girl who developed atypical reflex sympathetic dystrophy syndrome, with decreased uptake of Technetium 99 (99mTc) following minor trauma of the ankle joint. The patient was treated with a single lumbar paravertebral sympathetic block followed by intensive physiotherapy. Immediate significant and prolonged improvement was achieved. There was recurrence 8 months later without apparent cause, again as an atypical form of the reflex sympathetic dystrophy syndrome with decreased bone uptake of 99mTc; the same treatment was repeated and resulted in complete recovery. Sympathetic block with local anaesthetic of the paravertebral sympathetic ganglia is an effective procedure for diagnosis and treatment of both typical and atypical forms of the reflex sympathetic dystrophy syndrome in the early stages of the disease.

Original languageEnglish
Pages (from-to)43-46
Number of pages4
JournalPain Clinic
Volume4
Issue number1
StatePublished - 1 Jan 1991
Externally publishedYes

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