Vinent Patr Ícia Milena Souza, Oliveira Eduardo Jos Silva Gomes de, Oliveira Caio M Rcio Barros de, Moura Ed Carlos Rey, Servin Elizabeth Teixeira Noguera, Gomes Lyvia Maria Rodrigues de Sousa, Leal Plinio da Cunha
Universidade Federal do Maranh.·o (UFMA), S.·o Lu.ís, MA, Brazil.
Universidade Federal do Maranh.·o (UFMA), S.·o Lu.ís, MA, Brazil.
Braz J Anesthesiol. 2024 Sep-Oct;74(5):744233. doi: 10.1016/j.bjane.2021.07.012. Epub 2021 Jul 26.
In the pediatric population, complex regional pain syndrome (CRPS) is a challenging condition that leads to chronic psychosocial dysfunction. This case is of a 12-year-old male patient, 50.ßkg, who, after twisting his right ankle, started to present intense pain. Without adequate diagnosis and treatment, his family sought a pain specialist. During the evaluation, a change in sensitivity and temperature was observed, besides hyperalgesia, allodynia, redness, edema, and motor dysfunction, being diagnosed with CRPS. Ultrasound-guided sciatic blocks were performed on the affected limb, increasing the interval between crises, reducing pain intensity, and promoting a return to daily activities.
在儿科人群中，复杂性区域疼痛综合征（CRPS）是一种具有挑战性的病症，会导致慢性心理社会功能障碍。该病例为一名12岁男性患者，体重50.ßkg，在扭伤右脚踝后开始出现剧痛。由于未得到充分诊断和治疗，其家人寻求了疼痛专科医生的帮助。在评估过程中，除了痛觉过敏、异常性疼痛、发红、水肿和运动功能障碍外，还观察到了感觉和温度的变化，最终被诊断为CRPS。对患侧肢体进行了超声引导下的坐骨神经阻滞，延长了发作间隔时间，减轻了疼痛强度，并促使患者恢复日常活动。
