A surgical approach to complex regional pain syndrome with neurogenic thoracic outlet syndrome in a reoperation patient.

IF 1.4 Q4 CLINICAL NEUROLOGY Pain management Pub Date : 2024-01-01 Epub Date: 2024-09-24 DOI:10.1080/17581869.2024.2402213
William Tyler Crawley, Timbre Backen, Barbara Melendez, Stephen Annest
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Abstract

Thoracic outlet syndrome (TOS) and complex regional pain syndrome (CRPS) are two etiologies of chronic pain. TOS is a group of conditions that occur due to compression of the neurovascular structures of the upper extremity while CRPS is a disorder characterized by chronic and unremitting pain. This case highlights the experience of a 22-year-old female who presented following a traumatic injury to her left arm and was initially diagnosed with neurogenic TOS and later CRPS. Over a 10-year-period, she underwent a total of four operations to try and address her debilitating pain. In our third-time reoperation, symptoms of both pathologies nearly completely resolved with extensive neurolysis of the left brachial plexus and application of a scar tissue barrier.

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在一名再手术患者身上采用手术方法治疗复杂区域疼痛综合征并伴有神经源性胸廓出口综合征。
胸廓出口综合征(TOS)和复杂性区域疼痛综合征(CRPS)是慢性疼痛的两种病因。胸廓出口综合征是由于上肢神经血管结构受到压迫而引起的一组疾病,而复杂性区域疼痛综合征则是一种以慢性、持续性疼痛为特征的疾病。本病例重点介绍了一名 22 岁女性的经历,她的左臂在一次外伤后出现疼痛,最初被诊断为神经源性 TOS,后来又被诊断为 CRPS。在长达 10 年的时间里,她一共接受了四次手术,试图解决使人衰弱的疼痛。在我们的第三次再手术中,通过对左臂神经丛进行广泛的神经切除并应用瘢痕组织屏障,两种病症的症状几乎完全消失。
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来源期刊
Pain management
Pain management CLINICAL NEUROLOGY-
CiteScore
2.90
自引率
5.90%
发文量
62
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