Jove
Visualize
Contact Us

Related Experiment Videos

Recurrent and migratory reflex sympathetic dystrophy in children.

H C Tong1, V S Nelson

  • 1Department of Physical Medicine and Rehabilitation, University of Michigan Health Systems, Ann Arbor 48108, USA. hct@groupwise.med.umich.edu

Pediatric Rehabilitation
|July 27, 2001
PubMed
Summary

Reflex sympathetic dystrophy (RSD) in children can occur without trauma, presenting as recurrent and migratory pain. Early intervention with epidural anesthesia, physical therapy, or stellate ganglion blocks may be effective.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Autologous platelet scintigraphy and clinical outcome of splenectomy in immune thrombocytopenia: A systematic review and meta-analysis.

Critical reviews in oncology/hematology·2020
Same author

A preliminary study of biological characteristics of Streptococcus oligofermentans in oral microecology.

Caries research·2010
Same author

The practice of physical medicine and rehabilitation in subSaharan Africa and Antarctica: a white paper or a black mark?

European journal of physical and rehabilitation medicine·2009
Same author

The clinician effect on "objective" technical components of the electrodiagnostic consultation.

American journal of physical medicine & rehabilitation·2007
Same author

Non-mutans streptococci in patients receiving radiotherapy in the head and neck area.

Caries research·2003
Same author

Multidisciplinary team evaluation of upper extremity injuries in a single visit: the UPPER Program.

Occupational medicine (Oxford, England)·2001
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Area of Science:

  • Pediatric Rehabilitation
  • Pain Management
  • Neurology

Background:

  • Reflex sympathetic dystrophy (RSD) is a rare condition in children, typically considered benign and self-limiting.
  • It is characterized by pain, swelling, vasomotor instability, and skin changes.

Observation:

  • An 11-year-old girl with no trauma history presented with spontaneous leg pain, diagnosed as RSD.
  • She experienced recurrent, migratory RSD in her arms over five years, refractory to initial treatments.

Findings:

  • Initial oral medication was unsuccessful; symptoms resolved with epidural anesthesia and physical therapy.
  • Recurrent episodes required multiple stellate ganglion blocks for resolution.
  • The third recurrence was refractory to stellate ganglion blocks but resolved with gabapentin.

Related Experiment Videos

Implications:

  • This case highlights that pediatric RSD can be non-traumatic, recurrent, and migratory.
  • It underscores the need for diverse treatment strategies beyond conservative management.
  • Gabapentin may be a viable option for refractory pediatric RSD cases.