Lefkoe T P, Cardenas D D
Northwest Regional SCI System, University of Washington, Department of Rehabilitation Medicine, Seattle, USA.
Spinal Cord. 1996 Apr;34(4):239-42. doi: 10.1038/sc.1996.44.
Reflex sympathetic dystrophy (RSD) of the upper extremities has been reported to occur following complete and incomplete injuries of the cervical cord. Such reports describe the value of the three-phase radionuclide bone scan (TPBS) in differentiating RSD from pain of other sources. To our knowledge, RSD of the lower extremities has not been reported in a patient with tetraplegia. We report a case of lower extremity RSD in a patient with complete traumatic injury of the cervical cord. The case illustrates the use of the TPBS to differentiate RSD from heterotopic ossification (HO) in the lower extremities. THe successful use of the alpha-adrenergic blocker, phenoxybenzamine, in the treatment of RSD is described. Follow-up to 30 months has shown no evidence of recurrence, and complete resolution of the scintigraphic findings.
据报道，上肢反射性交感神经营养不良（RSD）可发生于颈髓完全性和不完全性损伤之后。此类报道描述了三相放射性核素骨扫描（TPBS）在鉴别RSD与其他来源疼痛方面的价值。据我们所知，四肢瘫患者下肢RSD尚未见报道。我们报告1例颈髓完全性创伤性损伤患者发生下肢RSD的病例。该病例说明了TPBS在鉴别下肢RSD与异位骨化（HO）中的应用。文中描述了α-肾上腺素能阻滞剂苯氧苄胺成功用于治疗RSD的情况。随访30个月未发现复发迹象，骨闪烁显像结果完全消失。
