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Long-term use of subarachnoid clonidine for analgesia in refractory reflex sympathetic dystrophy. Case report
1Gloucestershire Royal Hospital, United Kingdom.
Abstract
Background And Objectives:
A case is presented of intractable reflex sympathetic dystrophy resistant to all other types of treatment.
Methods:
Twice daily subarachnoid clonidine was used to manage the symptoms via an implanted drug delivery system.
Results:
The patient has successfully administered his own subarachnoid clonidine for over 18 months with no signs of tolerance or toxicity.
Conclusions:
Continuous subarachnoid clonidine may offer a solution to the management of some cases of intractable reflex sympathetic dystrophy.