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Journal article
Complex regional pain syndrome with associated chest wall dystonia: a case report
Journal of brachial plexus and peripheral nerve injury, v 6(1), pp e40-e43
01 Dec 2011
PMID: 21943053
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Patients with complex regional pain syndrome (CRPS) often suffer from an array of associated movement disorders, including dystonia of an affected limb. We present a case of a patient with long standing CRPS after a brachial plexus injury, who after displaying several features of the movement disorder previously, developed painful dystonia of chest wall musculature. Detailed neurologic examination found palpable sustained contractions of the pectoral and intercostal muscles in addition to surface allodynia. Needle electromyography of the intercostal and paraspinal muscles supported the diagnosis of dystonia. In addition, pulmonary function testing showed both restrictive and obstructive features in the absence of a clear cardiopulmonary etiology. Treatment was initiated with intrathecal baclofen and the patient had symptomatic relief and improvement of dystonia. This case illustrates a novel form of the movement disorder associated with CRPS with response to intrathecal baclofen treatment.
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Details
- Title
- Complex regional pain syndrome with associated chest wall dystonia: a case report
- Creators
- David J. Irwin - Drexel UniversityRobert J. Schwartzman - Drexel University
- Publication Details
- Journal of brachial plexus and peripheral nerve injury, v 6(1), pp e40-e43
- Publisher
- Thieme Medical Publishers
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurology
- Web of Science ID
- WOS:000214692400006
- Scopus ID
- 2-s2.0-80053363342
- Other Identifier
- 991019168102004721
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Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Clinical Neurology