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Journal of neurosurgery · Feb 2009
Case ReportsEffect of spinal cord stimulation in Type I complex regional pain syndrome with 2 rare severe cutaneous manifestations.
- Kim Rijkers, Jasper van Aalst, Erkan Kurt, Marc A Daemen, Emile A M Beuls, and Geert H Spincemaille.
- Department of Neurosurgery, Maastricht University Hospital, Maastricht, The Netherlands. kimrijkers@gmail.com
- J. Neurosurg. 2009 Feb 1;110(2):274-8.
AbstractThe authors present the case of a 49-year-old female patient with complex regional pain syndrome-Type I (CRPSI) who was suffering from nonhealing wounds and giant bullae, which dramatically improved after spinal cord stimulation (SCS). The scientific literature concerning severe cutaneous manifestations of CRPS-I and their treatment is reviewed. Nonhealing wounds and bullae are rare manifestations of CRPS-I that are extremely difficult to treat. Immediate improvement of both wounds and bullae after SCS, such as in this case, has not been reported previously in literature. Considering the rapidly progressive nature of these severe skin manifestations, immediate treatment, possibly with SCS, is mandatory.
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