지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Complex regional pain syndrome (CRPS) is a disease that causes chronic spontaneous pain and hyperesthesia of one or more parts of legs and arms, which is accompanied with problems of the automatic nervous system or the motor nervous system. However, up to date, it is unclear what causes the syndrome and how to diagnose and treat it. Although several treatments including medication and sympathetic nerve block are performed against CRPS, the therapeutic effect of the treatments is limited. The electroconvulsive thera-py (ECT), of which the mechanism is not clarified, is a treatment used for treatment-resistant depression. ECT is also reported to be effective against pain. Therefore, we performed the ECT for a 24-year-old female patient who has been diagnosed as CRPS. Her pain had not been much improved by medications and interventional procedures. At admission to a psychiatric ward for ECT, she com-plained of over 8 points of pain on visual analogue scale and the constrained movement around the painful part. Eight ECTs-three times a week-were performed for three weeks in hospital and then the ECT once a week was performed after her leaving the hospital. During the ECTs, pain had been reduced and the range of movement in the constrained parts had increased. Further systematic re-search is needed to confirm the effect of electroconvulsive therapy against CRPS.
목차
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참고문헌 (15)
참고문헌 신청
Harden RN / 2010 / Objectification of the diagnostic criteria for CRPS / Pain Med 11:1212~1215
Bruehl S / 2010 / An update on the pathophysiology of complex regional pain syndrome / Anesthesiology 113:713~725
de Mos M / 2007 / The incidence of complex regional pain syndrome: a population-based study / Pain 129:12~20
van Eijs F / 2011 / Evidence-based interventional pain medicine according to clinical diagnoses. 16. Complex regional pain syndrome / Pain Pract 11:70~87
Wolanin MW / 2007 / Treatment of CRPS with ECT / Pain Physician 10:573~578
Bruehl S / 2010 / An update on the pathophysiology of complex regional pain syndrome / Anesthesiology 113:713~725
de Mos M / 2007 / The incidence of complex regional pain syndrome: a population-based study / Pain 129:12~20
van Eijs F / 2011 / Evidence-based interventional pain medicine according to clinical diagnoses. 16. Complex regional pain syndrome / Pain Pract 11:70~87
Wolanin MW / 2007 / Treatment of CRPS with ECT / Pain Physician 10:573~578
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