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Reflex sympathetic dystrophy after a minor electric shock
E M Demun1, J L Redd, K A Buchanan
1Department of Plastic Surgery, University of Virginia School of Medicine, Charlottesville 22908.
The Journal of Emergency Medicine
|July 1, 1993
Summary
A minor electric shock caused progressive hand pain, swelling, and weakness in a patient. This condition, identified as reflex sympathetic dystrophy, was successfully treated with cervicothoracic sympathetic blocks.
Area of Science:
- Neurology
- Vascular Medicine
- Occupational Health
Background:
- Electric shock injuries can lead to complex neurological and vascular complications.
- Reflex sympathetic dystrophy (RSD), now known as Complex Regional Pain Syndrome (CRPS), is a poorly understood condition.
- Understanding the link between minor trauma and chronic pain conditions is crucial for effective treatment.
Observation:
- A 37-year-old female experienced progressive paresthesias, rest pain, swelling, and weakness in her right hand after an electric shock.
- Symptoms developed over two months, indicating a chronic and evolving condition.
- Physical examination revealed significant functional impairment of the affected hand.
Findings:
- Plethysmography confirmed arterial vasoconstriction in the affected right hand.
- The clinical presentation and diagnostic findings were consistent with reflex sympathetic dystrophy.
- The patient's symptoms responded positively to targeted treatment.
Implications:
- This case highlights the potential for seemingly minor electric shocks to trigger significant peripheral vascular and neurological dysfunction.
- Cervicothoracic sympathetic blocks can be an effective treatment modality for electric shock-induced reflex sympathetic dystrophy.
- Further research into the pathophysiology of electric shock-related CRPS is warranted to improve patient outcomes.