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Recurrent sympathetic dystrophy: successful treatment by contralateral sympathectomy
Surgery
|July 1, 1987
Summary
Recurrent reflex sympathetic dystrophy after sympathectomy may be treated with contralateral sympathectomy. This suggests reinnervation from the opposite lumbar sympathetic chain may cause symptom recurrence in this pain disorder.
Area of Science:
- Pain management
- Neurology
- Surgical therapy
Background:
- Reflex sympathetic dystrophy (RSD) is a complex pain disorder.
- Vasomotor disturbances are common in RSD.
- Sympathectomy is a primary treatment for disabling RSD pain.
Observation:
- This report details a case of lower-extremity RSD.
- The patient experienced recurrent symptoms after an initial sympathectomy.
- The recurrent symptoms were successfully treated with contralateral sympathectomy.
Findings:
- Recurrence of RSD following sympathectomy can occur.
- Contralateral sympathectomy can be an effective treatment for recurrent lower-extremity RSD.
- Reinnervation from the contralateral lumbar sympathetic chain is a potential cause of recurrent RSD.
Implications:
- Contralateral sympathectomy should be considered for recurrent RSD.
- Understanding reinnervation pathways is crucial for managing RSD.
- This case highlights the complexity of RSD treatment and management.