Wainapel S F, Freed M M
Arch Phys Med Rehabil. 1984 Jan;65(1):35-6.
A patient with quadriplegia developed severe localized unilateral hand pain associated with clinical evidence of abnormal sympathetic hand activity. Diagnosis revealed reflex sympathetic dystrophy (RSD), which was resolved with conservative management. The association of RSD with spinal cord injury has been reported only rarely. Since few speculations about this condition have been made, we suggest that unexplained painful syndromes in the extremities of patients with spinal cord injury be carefully evaluated to rule out the possibility of RSD.
一名四肢瘫痪患者出现严重的局部单侧手部疼痛,并伴有手部交感神经活动异常的临床证据。诊断显示为反射性交感神经营养不良(RSD),经保守治疗后症状缓解。RSD与脊髓损伤的关联仅有极少的报道。由于对此病症的推测很少,我们建议对脊髓损伤患者四肢出现的不明原因疼痛综合征进行仔细评估,以排除RSD的可能性。