covid
Buscar en
Revista Colombiana de Anestesiología
Toda la web
Inicio Revista Colombiana de Anestesiología Síndrome doloroso regional complejo
Información de la revista
Vol. 39. Núm. 1.
Páginas 71-83 (febrero - abril 2011)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 39. Núm. 1.
Páginas 71-83 (febrero - abril 2011)
ARTÍCULO DE REVISIÓN
Open Access
Síndrome doloroso regional complejo
Complex Regional Pain Syndrome
Visitas
10039
René F. Rodríguez*, Ana María Ángel Isaza**
* Anestesiólogo, docente Universidad Libre Cali. Clínica del Dolor y Cuidados Paliativos de la Clínica Rafael Uribe Uribe. Grupo Investigación CADPAL. Cali, Colombia.
** Universidad Libre Cali. Grupo Investigación Clínica para el Alivio del Dolor y Cuidados Paliativos CADPAL. Cali, Colombia.
Este artículo ha recibido

Under a Creative Commons license
Información del artículo
Resumen
Bibliografía
Descargar PDF
Estadísticas
RESUMEN
Introducción

El síndrome doloroso regional complejo (SDRC) es una entidad que se presenta después de una lesión. Sus principales características son dolor, cambios en la coloración y temperatura de la piel, edema y cambios tróficos.

Objetivo

Presentar una revisión actualizada de la literatura para mejorar la comprensión de este síndrome.

Metodología

Se seleccionaron 48 artículos de revistas indexadas y 4 capítulos de libros sobre medicina del dolor.

Conclusión

El SDRC suele ser de difícil manejo, y de no ser tratado adecuadamente, la funcionalidad de la extremidad afectada puede verse comprometida. El diagnóstico temprano y el manejo oportuno reducen la severidad y duración de esta entidad.

Palabras clave:
Síndromes del Dolor Regional Complejo
dolor
Causalgia
Nervios periféricos
Hiperalgesia. (Fuente: DeCS, BIREME).
SUMMARY
Introduction

Complex Regional Pain Syndrome (CRPS) is a chronic disabling disorder that occurs after an injury. Pain, changes in the color and temperature of the skin, edema and trophic changes are the main characteristics of this syndrome.

Objective

To provide a current literature overview of the CRPS to improve its understanding.

Methodology

An extensive literature search both in indexed journals and pain medicine books was performed. Forty eight articles and 4 book chapters about pain medicine were included.

Conclusion

CRPS is difficult to manage and if it is not treated adequately, functionality of the affected limb can be compromised. Early diagnosis and treatment may reduce the severity and duration of this condition.

Keywords:
Complex Regional Pain Syndrome
pain
Causalgia
Peripheral Nerves
Hyperalgesia. (Source: MeSH, NLM).
El Texto completo está disponible en PDF
REFERENCES
[1.]
B. Wilsey, D. Teicheira, O.A. Caneris, S.M. Fishman.
A review of sympathetically maintained pain syndromes in the cancer pain population.
Pain practice, 1 (2001), pp. 307-323
[2.]
S.W. Mitchell, G.R. Morehouse, W.W. Keen.
Gunshot wounds and other injuries of nerves.
pp. 100-111
[3.]
G.D. Schott.
Complex? Regional? Pain? Syndrome?.
Pract Neurol, 7 (2007), pp. 145-157
[4.]
P.A. Díaz, R. Plancarte, A.C. Tamayo.
Síndrome doloroso regional complejo. Estado actual.
Cir Ciruj, 72 (2004), pp. 225-238
[5.]
H. Merskey, N. Bogduk.
Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms.
Second edition, pp. 40-42
[6.]
S. Cepeda.
Síndrome doloroso regional complejo tipos I-II.
Medicina del dolor y cuidados paliativos, pp. 71-79
[7.]
S. Bruehl, R.N. Harden, B.S. Galer, S. Saltz, M. Bertram, M. Backonja, R. Gayles, N. Rudin, M.K. Bhugra, M. Stanton-Hicks.
External validation of IASP diagnostic criteria for complex regional pain syndrome and proposed research diagnostic criteria.
Pain, 81 (1999), pp. 147-154
[8.]
P.H. Veldman, H.M. Reynen, I.E. Arntz, R.J. Goris.
Signs and symptoms of reflex sympathetic dystrophy: prospective study of 829 patients.
Lancet., 342 (1993), pp. 1012-1016
[9.]
S.N. Raja, T.S. Grabow.
Complex Regional Pain Syndrome I (Reflex Sympathetic Dystrophy).
Anesthesiology., 96 (2002), pp. 1254-1260
[10.]
M.V. Ribera.
Síndrome de dolor regional complejo tipo I y II.
Dolor., 18 (2003), pp. 83-84
[11.]
F. Neira, J.L. Ortega.
El síndrome doloroso regional complejo y medicina basada en la evidencia.
Rev. Soc. Esp. Dolor, 2 (2007), pp. 133-146
[12.]
B.S. Gler, L. Scwartz, R. Allen, et al.
Síndromes de dolor regional complejo: tipo I (distrofia simpática refleja) y tipo II (causalgia).
3a ed, pp. 467-496
[13.]
M.S. Matoses.
Síndrome del dolor regional complejo. Dolor neuropático periférico.
Dolor., 17 (2002), pp. 78-86
[14.]
F.C. Obata, L.L. Tsa.
Síndrome dolorosa complexa regional: Epidemiología, fisiopatologia, manifestaçóes clínicas, testes diagnósticos e propostas terapéuticas.
Rev Bras Anestesiol, 52 (2002), pp. 618-627
[15.]
M. De Mos, A.G.J. de Bruijn, F.J.P.M. Huygen, J.P. Dieleman, B.H.Ch. Stricker, M.C.J.M. Sturkenboom.
The incidence of complex regional pain syndrome: A population-based study.
[16.]
P. Sandroni, L.M. Benrud-Larson, R.L. McClelland, P.A. Low.
Complex regional pain syndrome type I: incidence and prevalence in Olmsted county, a population-based study.
Pain., 103 (2003), pp. 199-207
[17.]
S. Pertoldi, P. Di Benedetto.
Shoulder-hand syndrome after stroke. A complex regional pain syndrome.
Eura Medicophys., 41 (2005), pp. 283-292
[18.]
Z.M. Kiralp, Ü. Dinçer, E. Çakar, H. Dursun.
Complex regional pain syndrome: epidemiologic features, treatment approaches, workday loss and return to work/disability ratios.
Turk J Rheumatol, 24 (2009), pp. 1-5
[19.]
R.F. Rodríguez, A.M. Angel. Epidemiology and clinical characteristics of complex regional pain syndrome of upper limb in Valle-Colombia. In press
[20.]
W. Janig, R. Baron.
Complex regional pain syndrome: mystery explained?.
Lancet Neurol., 2 (2003), pp. 687-697
[21.]
B. Ghai, G.P. Dureja.
Complex regional pain syndrome: A review.
J Postgrad Med., 50 (2004), pp. 300-307
[22.]
M. Schurmann, G. Gradl, J. Zaspel, M. Kayser, P. Lohr, H.J. Andress.
Peripheral sympathetic function as a predictor of complex regional pain syndrome type I in patients with radial fracture.
Auton Neurosci., 86 (2000), pp. 127-134
[23.]
D.P. Drummond.
Involvement of the Sympathetic Nervous System in Complex Regional Pain Syndrome.
Neurology., 9 (2001), pp. 1296-1303
[24.]
G. Wasner, K. Heckmann, C. Maier, R. Baron.
Vascular abnormalities in acute reflex sympathetic dystrophy (CRPS I): complete inhibition of sympathetic nerve activity with recovery.
Arch Neurol., 56 (1999), pp. 613-620
[25.]
B. Garrido.
Complex regional pain syndrome. An approach between physiopathology and therapeutics.
Rev Soc Esp Dolor., 12 (2005), pp. 227-234
[26.]
O. Rommel, M. Gehling, R. Dertwinkel, K. Witscher, M. Zenz, J.P. Malin, W. Janig.
Hemisensory impairment in patients with complex regional pain syndrome.
Pain, 80 (1999), pp. 95-101
[27.]
O. Rommel, M. Thimineur.
Clinical evidence of central sensory disturbances in CRPS.
pp. 193-208
[28.]
N. Sieweki, F. Birklein, B. Riedl, B. Neundorfer, H.O. Handwerker.
Patterns of hiperalgesia in complex regional pain sindrome.
Pain., 80 (1999), pp. 171-177
[29.]
M. Weber, Birklein, B. Neundorfer, M. Schmelz.
Facilitated neurogenic inflammation in complex regional pain syndrome.
Pain., 91 (2001), pp. 251-257
[30.]
N. Üçeyler, T. Eberle, R. Rolke, F. Birklein, C. Sommer.
Differential expression patterns of cytokines in complex regional pain syndrome.
Pain., 132 (2007), pp. 195-205
[31.]
H. Blumberg, W. Janing.
Clinical manifestation of reflex sympathetic dystrophy and sympathetically maintained pain.
Textbook of pain, 3rd ed., pp. 685-698
[32.]
F. Birklein, B. Riedl, B. Neundorfer, H.O. Handwerker.
Sympathetic vasoconstrictor reflex pattern in patients with complex regional pain syndrome.
Pain., 75 (1998), pp. 93-100
[33.]
G. Wasner, K. Heckmann, C. Maier, R. Baron.
Vascular abnormalities in acute reflex sympathetic dystrophy (CRPS I): Complete inhibition of sympathetic nerve activity with recovery.
Arch Neurol., 56 (1999), pp. 613-620
[34.]
G. Allen, B.S. Galer, L. Schwartz.
Epidemiology of complex regional pain syndrome: a retrospective chart review of 134 patients.
Pain., 80 (1999), pp. 539-544
[35.]
S. Rashiq, B.S. Galer.
Proximal myofascial dysfunction in complex regional pain syndrome: a retrospective prevalence study.
Clin J Pain., 15 (1999), pp. 151-153
[36.]
B.S. Galer, J. Henderson, J. Perander, M.P. Jensen.
Course of symptoms and quality of life measurement in complex regional pain syndrome: a pilot survey.
J Pain Symptom Manage., 20 (2000), pp. 286-292
[37.]
M.C. Rowbotham.
Pharmacological management of complex regional pain syndrome.
Clin J Pain., 22 (2006), pp. 425-429
[38.]
A.C. Van de Vusse, S.G. Stomp van den Berg, A.H. Kessels, W.E. Weber.
Randomised controlled trial of gabapentin in Complex Regional Pain Syndrome type I.
BMC Neurology, 4 (2004), pp. 13-22
[39.]
S.H. Sindrup, G. Andersen, C. Madsen, T. Smith, K. Brosen, T.S. Jensen.
Tramadol relieves pain and allodynia in polyneuropathy: a randomised, double-blind, controlled trial.
Pain., 83 (1999), pp. 85-90
[40.]
Y. Harati, C. Gooch, M. Swenson, et al.
Double-blind randomized trial of tramadol for the treatment of the pain of diabetic neuropathy.
Neurology., 50 (1998), pp. 1842-1846
[41.]
M. Varenna, F. Zucchi, D. Ghiringhelli, L. Binelli, M. Bevilacgua, P. Bettica, L. Sinigaglia.
Intravenous clodronate in the treatment of reflex sympathetic dystrophy syndrome. A randomized, double blind, placebo controlled study.
J Rheumatol, 27 (2000), pp. 1477-1483
[42.]
S. Adami, V. Fossaluzza, D. Gatti, E. Fracassi, V. Braga.
Bisphosphonate therapy of reflex sympathetic dystrophy syndrome.
Ann Rheum Dis., 56 (1997), pp. 201-204
[43.]
J. Cliffort, Wolf, R.J. Mannion.
Dolor neuropático, etiología, mecanismos y manejo.
Lancet, 353 (1999), pp. 1959-1964
[44.]
C. Gobelet, M. Waldburger, J.L. Meier.
The effect of adding calcitonin to physical treatment on reflex sympathetic dystrophy.
Pain., 48 (1992), pp. 171-175
[45.]
D.R. Bickerstaff, J.A. Kanis.
The use of nasal calcitonin in the treatment of post-traumatic algodystrophy.
Br J Rheumatol., 30 (1991), pp. 291-294
[46.]
M. Stanton-Hicks.
Complex regional pain syndrome (type-I, RSD; type-II, causalgia): controversies.
Clin J Pain., 16 (2000), pp. 33-40
[47.]
B.L. Kidd, L.A. Urbán.
Mecanismos del dolor inflamatorio.
British Journal of Anaesthesia., 87 (2001), pp. 3-11
[48.]
D.F. Braus, J.K. Kraus, J. Strobel.
The shoulder hand syndrome after stroke: a prospective clinical trial.
Ann Neurol., 36 (1994), pp. 728-733
[49.]
K. Christensen, E.M. Jensen, I. Noer.
The reflex sympathetic dystrophy syndrome response to treatment with systemic corticosteroids.
Acta Chir Scand., 148 (1982), pp. 653-655
[50.]
M.A. Kemler, G.A. Barendse, M. van Kleef, H.C. de Vet, C.P. Rijks, C.A. Furnee, F.A. van den Wildenberg.
Spinal cord stimulation in patients with chronic reflex sympathetic dystrophy.
N Engl J Med., 343 (2000), pp. 618-624
[51.]
B.S. Galer, S. Butler, M.P. Jensen.
Case reports and hypothesis: a neglect-like syndrome may be responsible for the motor disturbance in reflex sympathetic dystrophy (CRPS 1).
J Pain Symptom Manage., 10 (1995), pp. 385-391
[52.]
J. Hareau.
What makes treatment of reflex sympathetic dystrophy successful?.
J Hand Ther., 9 (1996), pp. 367-370
Copyright © 2011. Revista Colombiana de Anestesiología
Descargar PDF
Opciones de artículo