出血性卒中所致深静脉血栓形成、异位骨化和复杂性区域疼痛综合征并存
Coexistence of Deep Vein Thrombosis, Heterotopic Ossification, and Complex Regional Pain Syndrome due to Hemorrhagic Stroke.
作者信息
Koyuncu Engin, Nakipoğlu Yüzer Güldal Funda, Yenigün Didem, Özgirgin Neşe
机构信息
Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey.
Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey.
出版信息
J Stroke Cerebrovasc Dis. 2016 Mar;25(3):e38-40. doi: 10.1016/j.jstrokecerebrovasdis.2015.11.025. Epub 2016 Jan 8.
CASE
A patient who developed hemiplegia related to a hemorrhagic stroke and who had not been started on venous thromboembolism prophylaxis or a physical medicine and rehabilitation program was admitted to our clinic on the 4th month after the event. Our patient had pain, swelling, redness, increased temperature at the right lower extremity, range of motion limitation at the hip and knee, deep vein thrombosis (DVT) and complex regional pain syndrome (CRPS) at the same side lower extremity, and heterotopic ossification (HO) at the hip.
CONCLUSIONS
Our case is presented to emphasize the HO that is not frequently seen after stroke, the importance of DVT prophylaxis in hemorrhagic stroke, and the association between DVT, HO, and CRPS.
病例
一名因出血性中风导致偏瘫且未开始进行静脉血栓栓塞预防或物理医学与康复计划的患者，在发病后第4个月入住我院。该患者右下肢出现疼痛、肿胀、发红、温度升高，髋部和膝部活动范围受限，同侧下肢发生深静脉血栓形成（DVT）和复杂性区域疼痛综合征（CRPS），髋部出现异位骨化（HO）。
结论
我们展示该病例是为了强调中风后不常见的HO、出血性中风中DVT预防的重要性，以及DVT、HO和CRPS之间的关联。
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