a Department of Physical Medicine, Rehabilitation and Occupational Medicine , Medical University Vienna , Vienna , Austria.
Disabil Rehabil. 2019 Apr;41(8):991-993. doi: 10.1080/09638288.2017.1413430. Epub 2017 Dec 7.
To describe the clinical manifestation and the treatment of complex regional pain syndrome type II in childhood.
Using information on the symptoms, diagnosis, rehabilitation and outcome of a young patient with complex regional pain syndrome type II.
A 9-year -old girl had severe pain in the region of the left foot, signs of a common fibular nerve entrapment, hyperalgesia not limited to the distribution of the injured nerve, weakness and temperature asymmetry unknown origin. She consulted few doctor's before she was given the right diagnosis of complex regional pain syndrome type II. Following the diagnosis the treatment started, it included intensive physiotherapy, electrical therapy and also supportive psychological therapy. Half a year later, the patient was free of the daily pain and returned to all physical activity without any restrictions.
The case report illustrates that peripheral nerve compression or injuries specifically, complex regional pain syndrome type II, should be taken into consideration when evaluating children with weakness and pain of the lower or upper limb. Implication of rehabilitation Raising the awareness of complex regional pain syndrome in the childhood is essential for an early diagnosis and appropriate treatment. The treatment options include early and adequate pain management inclusive electrical therapy and physiotherapy. Psychological therapy helps to avoid psychological stress reaction and the disease negative impact on the child's education and sports and the family social life.
描述儿童复杂性区域疼痛综合征 II 型的临床表现和治疗方法。
采用一名患有复杂性区域疼痛综合征 II 型的年轻患者的症状、诊断、康复和预后信息。
一名 9 岁女孩的左脚区域出现严重疼痛、腓总神经受压迹象、痛觉过敏不限于损伤神经的分布、无力和温度不对称，其病因不明。在被明确诊断为复杂性区域疼痛综合征 II 型之前，她曾多次就诊。诊断后开始治疗，包括强化物理治疗、电疗和支持性心理治疗。半年后，患者不再每天疼痛，恢复了所有的体力活动，没有任何限制。
该病例报告表明，在评估儿童下肢或上肢疼痛伴无力时，应考虑外周神经受压或损伤，特别是复杂性区域疼痛综合征 II 型。康复的意义提高对儿童复杂性区域疼痛综合征的认识对于早期诊断和适当治疗至关重要。治疗选择包括早期和充分的疼痛管理，包括电疗和物理治疗。心理治疗有助于避免心理应激反应以及疾病对儿童教育、体育和家庭社会生活的负面影响。
