Kalladka Mythili, Alhasan Hussein, Morubagal Nagaraju, Noma Noboru, Khan Junad
Orofacial Pain and Temporomandibular Disorders, Eastman Institute for Oral Health.
Division of Anaesthetics and Pain, University Hospital of Derby and Burton.
J Oral Sci. 2020 Sep 26;62(4):455-457. doi: 10.2334/josnusd.19-0437. Epub 2020 Sep 9.
Complex regional pain syndrome (CRPS)-an extremely painful primary pain disorder related to trauma-is rare in the orofacial region. The authors describe a case of orofacial CRPS with a clinical phenotype that fits the Budapest diagnostic criteria. A 39-year-old female patient presented with left-side facial pain that had been untreated for 10 months. Symptoms included burning pain and allodynia accompanied by swelling and redness on exposure to cold or stress. The diagnosis was confirmed after stellate ganglion anesthetic block resulted in substantial improvement.
复杂性区域疼痛综合征(CRPS)——一种与创伤相关的极其疼痛的原发性疼痛障碍——在口腔面部区域较为罕见。作者描述了一例符合布达佩斯诊断标准临床表型的口腔面部CRPS病例。一名39岁女性患者出现左侧面部疼痛,已持续10个月未得到治疗。症状包括灼痛和痛觉过敏,暴露于寒冷或压力下会伴有肿胀和发红。星状神经节麻醉阻滞使症状大幅改善后确诊。