Multiple Limb Involvement in a Severe Case of Complex Regional Pain Syndrome Treated with Spinal Cord Stimulation: A Case Report

Linda Eriksen; Astrid Juhl Terkelsen; Jens Christian Hedemann Sørensen; Anne Lene Høst Knudsen; Kaare Meier

doi:10.1213/XAA.0000000000001224

Multiple Limb Involvement in a Severe Case of Complex Regional Pain Syndrome Treated with Spinal Cord Stimulation: A Case Report

Linda Eriksen, Astrid Juhl Terkelsen, Jens Christian Hedemann Sørensen, Anne Lene Høst Knudsen, Kaare Meier

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

1 Citation (Scopus)

Abstract

Complex regional pain syndrome (CRPS) can be a debilitating, persistent, and treatment-resistant pain condition. This report presents a case of severe CRPS affecting multiple limbs, resistant to standard treatment modalities. Treatment with spinal cord stimulation (SCS) had an initial good effect. Nevertheless, the CRPS continued to progress, eventually affecting all 4 extremities. A lead fracture resulted in a rapidly developing recurrence of CRPS in the patient’s arm, necessitating amputation. SCS may be an effective modality for treatment of severe CRPS. However, mechanical problems should always be considered when an SCS-implanted patient experiences rapid symptom progression or abrupt cessation of stimulation.

Original language	English
Article number	e01224
Journal	A&A Practice
Volume	14
Issue	7
Pages (from-to)	e01224
Number of pages	4
ISSN	2575-3126
DOIs	https://doi.org/10.1213/XAA.0000000000001224
Publication status	Published - May 2020

Access to Document

10.1213/XAA.0000000000001224

Cite this

@article{1849c9257c4145d48dbff113d6009265,

title = "Multiple Limb Involvement in a Severe Case of Complex Regional Pain Syndrome Treated with Spinal Cord Stimulation: A Case Report",

abstract = "Complex regional pain syndrome (CRPS) can be a debilitating, persistent, and treatment-resistant pain condition. This report presents a case of severe CRPS affecting multiple limbs, resistant to standard treatment modalities. Treatment with spinal cord stimulation (SCS) had an initial good effect. Nevertheless, the CRPS continued to progress, eventually affecting all 4 extremities. A lead fracture resulted in a rapidly developing recurrence of CRPS in the patient{\textquoteright}s arm, necessitating amputation. SCS may be an effective modality for treatment of severe CRPS. However, mechanical problems should always be considered when an SCS-implanted patient experiences rapid symptom progression or abrupt cessation of stimulation.",

author = "Linda Eriksen and Terkelsen, {Astrid Juhl} and S{\o}rensen, {Jens Christian Hedemann} and Knudsen, {Anne Lene H{\o}st} and Kaare Meier",

year = "2020",

month = may,

doi = "10.1213/XAA.0000000000001224",

language = "English",

volume = "14",

pages = "e01224",

journal = "A&A Practice",

issn = "2575-3126",

publisher = "Lippincott Williams and Wilkins",

number = "7",

}

Multiple Limb Involvement in a Severe Case of Complex Regional Pain Syndrome Treated with Spinal Cord Stimulation: A Case Report. / Eriksen, Linda ; Terkelsen, Astrid Juhl ; Sørensen, Jens Christian Hedemann et al.
In: A&A Practice, Vol. 14, No. 7, e01224, 05.2020, p. e01224.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Multiple Limb Involvement in a Severe Case of Complex Regional Pain Syndrome Treated with Spinal Cord Stimulation

T2 - A Case Report

AU - Eriksen, Linda

AU - Terkelsen, Astrid Juhl

AU - Sørensen, Jens Christian Hedemann

AU - Knudsen, Anne Lene Høst

AU - Meier, Kaare

PY - 2020/5

Y1 - 2020/5

N2 - Complex regional pain syndrome (CRPS) can be a debilitating, persistent, and treatment-resistant pain condition. This report presents a case of severe CRPS affecting multiple limbs, resistant to standard treatment modalities. Treatment with spinal cord stimulation (SCS) had an initial good effect. Nevertheless, the CRPS continued to progress, eventually affecting all 4 extremities. A lead fracture resulted in a rapidly developing recurrence of CRPS in the patient’s arm, necessitating amputation. SCS may be an effective modality for treatment of severe CRPS. However, mechanical problems should always be considered when an SCS-implanted patient experiences rapid symptom progression or abrupt cessation of stimulation.

AB - Complex regional pain syndrome (CRPS) can be a debilitating, persistent, and treatment-resistant pain condition. This report presents a case of severe CRPS affecting multiple limbs, resistant to standard treatment modalities. Treatment with spinal cord stimulation (SCS) had an initial good effect. Nevertheless, the CRPS continued to progress, eventually affecting all 4 extremities. A lead fracture resulted in a rapidly developing recurrence of CRPS in the patient’s arm, necessitating amputation. SCS may be an effective modality for treatment of severe CRPS. However, mechanical problems should always be considered when an SCS-implanted patient experiences rapid symptom progression or abrupt cessation of stimulation.

UR - http://www.scopus.com/inward/record.url?scp=85086354113&partnerID=8YFLogxK

U2 - 10.1213/XAA.0000000000001224

DO - 10.1213/XAA.0000000000001224

M3 - Journal article

C2 - 32520472

SN - 2575-3126

VL - 14

SP - e01224

JO - A&A Practice

JF - A&A Practice

IS - 7

M1 - e01224

ER -

Multiple Limb Involvement in a Severe Case of Complex Regional Pain Syndrome Treated with Spinal Cord Stimulation: A Case Report

Abstract

Access to Document

Other files and links

Fingerprint

Spinal Cord Stimulation in Severe Cases of Complex Regional Pain Syndrome

Cite this

Multiple Limb Involvement in a Severe Case of Complex Regional Pain Syndrome Treated with Spinal Cord Stimulation: A Case Report

Abstract

Access to Document

Other files and links

Fingerprint

Projects

Spinal Cord Stimulation in Severe Cases of Complex Regional Pain Syndrome

Cite this