レセルピンによる静脈内局所交感神経ブロックで副作用を生じたCRPS type IIの症例

DOI Web Site 参考文献14件
  • 真弓 雅子
    Department of Anesthesia, Shimizu Kousei Hospital
  • 佐藤 重仁
    Department of Anesthesiology and Intensive Care, Hamamatsu University School of Medicine

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タイトル別名
  • A case of complex regional pain syndrome type II associated with the adverse effect by intravenous regional sympathetic block with reserpine
  • ショウレイ レセルピン ニ ヨル ジョウミャク ナイキョクショコウカン シンケイ ブロック デ フクサヨウ オ ショウジタ CRPS type 2 ノ ショウレイ

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Intravenous regional sympathetic block (IRSB) with reserpine is one of therapeutic strategies for patients with complex regional pain syndrome (CRPS). This therapy is generally performed safely on out-patient basis, and there is no report of a severe adverse effect relating to this therapy. However, we experienced a case with severe adverse effects of headache and orthostatic hypotension, and the patient was forced to be hospitalized. There has been a report that lower levels of catecholamine and serotonin are associated with autonomic dysfunction. In this case, it was speculated that this severe adverse effect was related to such a condition. Therefore, it might be important to pay attention to the management of IRSB with reserpine when treating patients with autonomic dysfunction.

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