Perineal Reflex Sympathetic Dystrophy Treated with Bilateral Lumbar Sympathectomy
Authors: Walter L. Olson
Journal: Annals of Internal Medicine (1990)

Brief Reports15 October 1990Perineal Reflex Sympathetic Dystrophy Treated with Bilateral Lumbar SympathectomyWalter L. Olson Jr., MDWalter L. Olson Jr., MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-113-8-633 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptSilas Weir Mitchell (1) first described the exquisitely painful disorder to which he later ascribed the name causalgia (2). Many other labels, including the reflex sympathetic dystrophy syndrome (3), have been used, each emphasizing a different feature of the disorder. A previous article on penile reflex sympathetic dystrophy (4) is supported by this case report. This disease should be diagnosed promptly to prevent unnecessary progression.Case ReportA 65-year-old, right-handed, white man had colonic adenocarcinoma metastatic to the pelvis treated by primary resection and radiation therapy with both chemotherapy and radiation therapy to metastatic implants. Six months before consultation, he...References1. MitchellMoorehouseKeen SGW. Gunshot Wounds and Other Injuries of Nerves. Philadelphia: J.B. Lippincott; 1864:164. Google Scholar2. Mitchell S. On the disease of nerves, resulting from injuries. In: Flint A, ed. Contributions Relating to the Causation and Prevention of Disease and to Camp Diseases. New York: Hurd and Houghton; 1867:412-68. Google Scholar3. SchwartzmanMcLellan RT. Reflex sympathetic dystrophy. Arch Neurol. 1987;44:555-61. CrossrefMedlineGoogle Scholar4. ChalkleyLanderRowlingson JCJ. Probable reflex sympathetic dystrophy of the penis. Pain. 1986;25:223-5. CrossrefMedlineGoogle Scholar5. JaegerSingerKroening BER. Reflex sympathetic dystrophy of the face: report of two cases and a review of the literature. Arch Neurol. 1986;43:693-5. CrossrefMedlineGoogle Scholar6. Leriche R. Causalgia: its significance and treatment. In: Young A, transi. The Surgery of Pain. Baltimore: Williams and Wilkins; 1939:170-201. Google Scholar7. SteinbrockerSpitzerFriedman ONH. The shoulder-hand syndrome in reflex dystrophy of the upper extremity. Ann Intern Med. 1948;29:22-52. LinkGoogle Scholar8. Escobar P. Reflex sympathetic dystrophy. Orthop Rev. 1986;40:646-51. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: From the Toledo Neurological Institute, Maumee, Ohio. For the current author address, see end of text. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited BySystemic Complications of Complex Regional Pain SyndromeThe outcome of percutaneous computed tomography-guided chemical lumbar sympathectomy for patients with causalgia after lumbar discectomyComputed tomography guided lumbar sympathetic block for complex regional pain syndrome in a child: A case report and reviewReflex sympathetic dystrophy syndrome and neuromediatorsAlgodystrophie et neuromédiateursReflex sympathetic dystrophy: facts and hypothesesLumbar sympathectomy for causalgia secondary to lumbar laminectomyUrological Symptomatology in Patients with Reflex Sympathetic DystrophyReflex sympathetic dystrophy after operative procedures on the lumbar spine. 15 October 1990Volume 113, Issue 8Page: 633-634KeywordsAdenocarcinomaChemotherapyMuscular dystrophiesPelvisRadiation therapyReflexesSympathectomy Issue Published: 15 October 1990 PDF DownloadLoading ...