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Case report 758. Reflex sympathetic dystrophy syndrome (RSDS)
P Chiowanich1, R L Vogelzang, A A Nemcek
1Department of Diagnostic Radiology Northwestern Memorial Hospital, Chicago, Illinois 60611.
Skeletal Radiology
|January 1, 1993
Summary
Reflex sympathetic dystrophy syndrome (RSDS) can present with a hypervascular intraosseous lesion. Angiographic and venographic findings revealed this vascular lesion, aiding in diagnosis.
Area of Science:
- Vascular Imaging
- Radiology
- Pain Management
Background:
- Reflex sympathetic dystrophy syndrome (RSDS), also known as complex regional pain syndrome, is a chronic pain condition.
- Lower extremity involvement is common in RSDS, presenting diagnostic challenges.
Observation:
- A case study detailing the angiographic and venographic imaging of a patient with lower extremity RSDS.
- The study focused on a specific hypervascular intraosseous lesion observed in the affected limb.
Findings:
- Angiography and venography demonstrated a hypervascular intraosseous lesion.
- This lesion initially mimicked an arteriovenous malformation on initial imaging.
- The vascular characteristics of the lesion provided key insights into the pathophysiology of RSDS.
Implications:
- Highlights the importance of advanced vascular imaging in diagnosing complex pain syndromes.
- Suggests that intraosseous vascular abnormalities may be a feature of RSDS.
- Informs differential diagnosis for lower extremity vascular lesions in the context of chronic pain.