Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Middlesex, England.
Neurosurgery. 2009 Oct;65(4 Suppl):A222-8. doi: 10.1227/01.NEU.0000358956.28018.84.
Forty-eight cases of causalgia are described. The syndrome was caused by missile injury in 33 patients. There was a major arterial injury in 22 patients. Sympathetic block followed by sympathectomy abolished the pain in 11 of the first 14 patients in the series. Causalgia was cured by correcting the lesion of the nerve and of the adjacent axial artery in the subsequent 32 patients. The concept of complex regional pain syndrome Type 1 and Type 2 is challenged.
描述了 48 例灼性神经痛。33 例由弹片伤引起，22 例合并主要动脉损伤。14 例中的前 11 例，先行交感神经阻滞和交感神经切除术，疼痛完全消失。以后的 32 例，修复神经及邻近的轴向动脉，治愈灼性神经痛。对复杂区域性疼痛综合征 1 型和 2 型的概念提出质疑。
