The Usefulness of Radioisotope Angiography in Management of Reflex Sympathetic Dystrophy Syndrome.
10.4097/kjae.1989.22.2.324
- Author:
Young Seok LEE
1
;
Jin Su KIM
;
Youn Woo LEE
;
Soo Yeoun KIM
;
Kyoung Min LEE
;
Ju Haeng LEE
;
Jong Rae KIM
Author Information
1. Department of Anesthesiology, Yongdong Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Reflex sympathetic dyatrophy syndrome;
Radioisotope angiography;
Lumbar sympathetic block;
Alcohol
- MeSH:
Burns;
Diagnosis;
Extremities;
Humans;
Lidocaine;
Radionuclide Angiography*;
Reflex Sympathetic Dystrophy*;
Reflex*
- From:Korean Journal of Anesthesiology
1989;22(2):324-328
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Reflex sympathetic dystrophy syndrome is characterized by variable complex of the following symptoms, such as pain, tenderness, vasomotor instability, and trophic changes in distal extremities resulting from injury to either central or peripheral nervous tissue. We measured blood flow using radioisotope angiography with agent containing technecium-99m in one patient with reflex sympathetic dystrophy syndrome. Blood flow were significantly lower in affected side than normal side. After epidural block with 0.5% lidocaine and left lumbar sympathetic block with 100% alcohol, burning pain was disappeared and blood flow was increased to near or above in relation to the normal side. Radioisotope angiography is a noninvasive study and not so expensive. And we thought that radioisotope angiography may be a useful aid not only for diagnosis, but also for evaluating therapeu-tic response.
