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European Journal of Physical and Rehabilitation Medicine 2012 March;48(1):155-61

Copyright © 2012 EDIZIONI MINERVA MEDICA

language: English

Simultaneous complex regional pain syndrome of the upper and lower limb in a stroke patient. Case report

Ünlü Şakaci I., Ersöz M., Tunç H., Yilmaz S., Akkuş S.

Department of Physical Medicine and Rehabilitation. Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ministry of Health, Ankara, Turkey


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Complex regional pain syndrome (CRPS) is a clinical condition charactarized by localised or diffuse pain accompanied with vasomotor, sudomotor and trophic changes in the affected part of the body. CRPS type-1 (CRPS-1) is a disabling problem after stroke and it is frequently reported in plegic upper limb. Although hemiplegia also involve the lower limb only a small number of patients reported to have CRPS-1 in the ipsilateral lower limb simultaneously in the literature. In this article a 70 year-old left hemiplegic woman secondary to ischemic stroke who had a complaint of constant and severe pain in quality of sharp stinging of left arm and leg for approximately 2 months and diagnosed as CRPS-1 in both upper and lower plegic limb simultaneously is presented. By the combination of medical and physical therapy the symptoms and signs resolved within 5 weeks and increased participation to the rehabilitation program is observed.

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