Nogueira Pinto Catarina, Oliveira Elsa, Agualusa Luís
Department of Anesthesiology, Unidade Local de Saúde de Matosinhos Hospital Pedro Hispano, Matosinhos, PRT.
Department of Pain Medicine, Unidade Local de Saúde de Matosinhos Hospital Pedro Hispano, Matosinhos, PRT.
Cureus. 2023 Apr 30;15(4):e38318. doi: 10.7759/cureus.38318. eCollection 2023 Apr.
Complex regional pain syndrome (CRPS) is a poorly understood neuropathic pain syndrome that may have different etiologies. Reports of this syndrome after vaccination are rare. We report a female patient with a medical history of acute stroke of the right carotid artery in the previous four months who developed hyperalgesia, allodynia, edema, and color changes in the upper left member compatible with CRPS one day after SARS-CoV-2 vaccination. A multimodal therapeutic approach was adopted, including a stellate ganglion block, with favorable results, including pain score reduction and increased mobility of the affected member.
复杂性区域疼痛综合征（CRPS）是一种病因不明的神经性疼痛综合征，可能有不同的病因。接种疫苗后出现该综合征的报告很少。我们报告了一名女性患者，她在过去四个月中有右颈动脉急性中风病史，在接种SARS-CoV-2疫苗一天后，左上肢体出现痛觉过敏、感觉异常、水肿和颜色改变，符合CRPS。我们采用了多模式治疗方法，包括星状神经节阻滞，取得了良好效果，包括疼痛评分降低和患侧肢体活动度增加。
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