Complex regional pain syndrome of non-hemiplegic upper limb in a stroke patient: A case report

Ahry Lee; Youjin Jung; Hee Kyu Kwon; Sung Bom Pyun

doi:10.5535/arm.2018.42.1.175

Complex regional pain syndrome of non-hemiplegic upper limb in a stroke patient: A case report

Ahry Lee, Youjin Jung, Hee Kyu Kwon, Sung Bom Pyun

Department of Biomedical Sciences

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Complex regional pain syndrome (CRPS) type I in stroke patients is usually known to affect the hemiplegic upper limb. We report a case of CRPS presented in an ipsilesional arm of a 72-year-old female patient after an ischemic stroke at the left middle cerebral artery territory. Clinical signs such as painful range of motion and hyperalgesia of her left upper extremity, swollen left hand, and dystonic posture were suggestive of CRPS. A three-phase bone scintigraphy showed increased uptake in all phases in the ipsilesional arm. Diffusion tensor tractography showed significantly decreased fiber numbers of the corticospinal tract and the spinothalamic tract in both unaffected and affected hemispheres. Pain and range of motion of the left arm of the patient improved after oral steroids with a starting dose of 50 mg/day.

Original language	English
Pages (from-to)	175-179
Number of pages	5
Journal	Annals of Rehabilitation Medicine
Volume	42
Issue number	1
DOIs	https://doi.org/10.5535/arm.2018.42.1.175
Publication status	Published - 2018 Feb 1

Keywords

Complex regional pain syndromes
Diffusion tensor imaging
Stroke

ASJC Scopus subject areas

Rehabilitation

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10.5535/arm.2018.42.1.175

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title = "Complex regional pain syndrome of non-hemiplegic upper limb in a stroke patient: A case report",

abstract = "Complex regional pain syndrome (CRPS) type I in stroke patients is usually known to affect the hemiplegic upper limb. We report a case of CRPS presented in an ipsilesional arm of a 72-year-old female patient after an ischemic stroke at the left middle cerebral artery territory. Clinical signs such as painful range of motion and hyperalgesia of her left upper extremity, swollen left hand, and dystonic posture were suggestive of CRPS. A three-phase bone scintigraphy showed increased uptake in all phases in the ipsilesional arm. Diffusion tensor tractography showed significantly decreased fiber numbers of the corticospinal tract and the spinothalamic tract in both unaffected and affected hemispheres. Pain and range of motion of the left arm of the patient improved after oral steroids with a starting dose of 50 mg/day.",

keywords = "Complex regional pain syndromes, Diffusion tensor imaging, Stroke",

author = "Ahry Lee and Youjin Jung and Kwon, {Hee Kyu} and Pyun, {Sung Bom}",

note = "Funding Information: This work was supported by a grant (No. 2016R1A2B400 9206) of the National Research Foundation of Korea (NRF) funded by the Korea government. Publisher Copyright: {\textcopyright} 2018 by Korean Academy of Rehabilitation Medicine.",

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T2 - A case report

AU - Lee, Ahry

AU - Jung, Youjin

AU - Kwon, Hee Kyu

AU - Pyun, Sung Bom

N1 - Funding Information: This work was supported by a grant (No. 2016R1A2B400 9206) of the National Research Foundation of Korea (NRF) funded by the Korea government. Publisher Copyright: © 2018 by Korean Academy of Rehabilitation Medicine.

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Y1 - 2018/2/1

N2 - Complex regional pain syndrome (CRPS) type I in stroke patients is usually known to affect the hemiplegic upper limb. We report a case of CRPS presented in an ipsilesional arm of a 72-year-old female patient after an ischemic stroke at the left middle cerebral artery territory. Clinical signs such as painful range of motion and hyperalgesia of her left upper extremity, swollen left hand, and dystonic posture were suggestive of CRPS. A three-phase bone scintigraphy showed increased uptake in all phases in the ipsilesional arm. Diffusion tensor tractography showed significantly decreased fiber numbers of the corticospinal tract and the spinothalamic tract in both unaffected and affected hemispheres. Pain and range of motion of the left arm of the patient improved after oral steroids with a starting dose of 50 mg/day.

AB - Complex regional pain syndrome (CRPS) type I in stroke patients is usually known to affect the hemiplegic upper limb. We report a case of CRPS presented in an ipsilesional arm of a 72-year-old female patient after an ischemic stroke at the left middle cerebral artery territory. Clinical signs such as painful range of motion and hyperalgesia of her left upper extremity, swollen left hand, and dystonic posture were suggestive of CRPS. A three-phase bone scintigraphy showed increased uptake in all phases in the ipsilesional arm. Diffusion tensor tractography showed significantly decreased fiber numbers of the corticospinal tract and the spinothalamic tract in both unaffected and affected hemispheres. Pain and range of motion of the left arm of the patient improved after oral steroids with a starting dose of 50 mg/day.

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KW - Diffusion tensor imaging

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Complex regional pain syndrome of non-hemiplegic upper limb in a stroke patient: A case report

Abstract

Keywords

ASJC Scopus subject areas

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