전완부 동정맥루 수술 환자에서의 복합부위통증증후군과 정맥압 증가 = Complex Regional Pain Syndrome and Venous Hypertension in Patient Experienced Arteriovenous Shunt Operation on Forearm - A Case Report -

다국어 초록 (Multilingual Abstract)

Complex regional pain syndrome is a neuropathic pain disorder, which causes pain, edema, limited range of motion, skin temperature variation, and skin color variation in the affected part. In this paper, experimental findings of complex regional pain syndrome in a patient, who had an arteriovenous shunt operation on his forearm in the past, are discussed. The patient’s illness was diagnosed through physical examination, thermographic inspection, and three-phase bone scintigraphy. He had symptoms of vasodilation in his brachium and forearm. Also, diffuse uptake condition in his affected area was observed in a delayed image, perfusion phase and hepatic blood pool images through three-phase bone scintigraphy. Moreover, body temperature of his hand and forearm on the affected side rose by 3.02~5.57˚. Nevertheless, the cause is unknown in 10~23% of complex regional pain syndrome. Therefore, all possible cases of complex regional pain syndrome cannot be completely ruled out, and it should be treated early by performing thorough history taking, radio-graphic inspection, three-phase bone scintigraphy, thermographic inspection, and electromyography as well as active physical examination.

참고문헌 (Reference)

1 Bonica IJ, "The management of pain. 3rd ed" Lippincott Williams & Wilkins 388-411, 2001

2 Veldman PH, "Signs and symptoms of reflex sympathetic dystrophy: prospective study of 829 patients" 342 : 1012-1016, 1993

3 UNEK IT, "Reflex sympathetic dystrophy syndrome due to arteriovenous fistula" 9 : 344-348, 2005

4 Allen G, "Epidemiology of complex regional pain syndrome: a retrospective chart review of 134 patients" 80 : 539-544, 1999

5 Haimov M, "Complication of arteriovenous fistulas for hemodialysis" 110 : 708-712, 1975

6 Genc H, "Complex regional pain syndrome type-1 after rubella vaccine" 9 : 517-520, 2005

7 Jastaniah WA, "Complex regional pain syndrome after hepatitis B vaccine" 143 : 802-804, 2003

8 Barash, PG, "Clinical anesthesia. 5th ed" Lippincott Williams & Wilkins 1456-1458, 2006

9 Merskey H, "Classification of chronic pain, description of chronic pain syndromes and definition of pain terms" IASP press 40-43, 1994

10 Nghiem DD, "Angioaccess by reverse brachiocephalic fistula" 153 : 574-575, 1987