A literature search at Indiana University, Bloomington, Indiana
The following MEDLINE items were compiled by SilverPlatter and are presented with their generous co-operation and permission. (See SilverPlatter's Worldwide Library for bibliographic search information.)
TITLE: [The reflex sympathetic dystrophy syndrome of the lower extremities in patients after kidney transplantation--another complication of cyclosporin A therapy?]
ORIGINAL TITLE: Syndrom reflexnej sympatikovej dystrofie dolnych koncatin u pacientov po transplantacii oblicky--d'alsia komplikacia liecby cyklosporinom A?
AUTHOR(S): Grandtnerova-B; Lepej-J; Markova-I; Spisiakova-D
ADDRESS OF AUTHOR: Transplantacne centrum, NsP F. D. Roosevelta, Banska Bystrica.
SOURCE (BIBLIOGRAPHIC CITATION): Vnitr-Lek. 1998 Feb; 44(2): 93-7
INTERNATIONAL STANDARD SERIAL NUMBER: 0042-773X
PUBLICATION YEAR: 1998
LANGUAGE OF ARTICLE: SLOVAK; NON-ENGLISH
COUNTRY OF PUBLICATION: CZECH-REPUBLIC
ABSTRACT: The authors describe a new complication observed in patients after transplantation of the kidneys, characterized by intensive periarticular pain of the joints of the lower extremities, mostly with a symmetrical affection of the heels and knees, associated with vasomotor changes in the affected area, X-ray evidence of patchy osteoporosis and an increased periarticular activity of radionuclide on bone scans. The symptoms develop shortly after transplantation and recede within several months. The clinical findings, X-ray and scintigraphic changes are typical for the syndrome of reflex sympathetic dystrophy. The etiology of the syndrome remains obscure, the symptomatology recedes parallel with reduction of the dosage and levels of cyclosporin A.
MINOR MESH HEADINGS: Adult-; Bone-and-Bones-radiography; Bone-and-Bones-radionuclide-imaging; English-Abstract; Pain-etiology; Reflex-Sympathetic-Dystrophy-radiography; Reflex-Sympathetic-Dystrophy-radionuclide-imaging
MAJOR MeSH HEADINGS: *Cyclosporine-adverse-effects; *Immunosuppressive-Agents-adverse-effects; *Kidney-Transplantation; *Leg-; *Reflex-Sympathetic-Dystrophy-etiology
CHECKTAGS: Case-Report; English-Abstract; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
CAS REGISTRY NUMBER OR EC NUMBER: 0; 59865-13-3
NAME OF SUBSTANCE: Immunosuppressive-Agents; Cyclosporine
MEDLINE ACCESSION NUMBER: 1999037518
UPDATE CODE: 199902
Record 2 of 65 in MEDLINE EXPRESS (R) 1999/01-1999/03
TITLE: Reflex sympathetic dystrophy of the lower limbs after kidney transplantation.
AUTHOR(S): Grandtnerova-B; Spisiakova-D; Lepej-J; Markova-I
ADDRESS OF AUTHOR: Transplant Centrum, F.D. Roosevelt Hospital, Bystrica, Slovak Republic.
SOURCE (BIBLIOGRAPHIC CITATION): Transpl-Int. 1998; 11 Suppl 1: S331-3
INTERNATIONAL STANDARD SERIAL NUMBER: 0934-0874
PUBLICATION YEAR: 1998
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: GERMANY
ABSTRACT: Reflex sympathetic dystrophy syndrome (RSDS) is a rarely described complication after different types of organ transplants. Three out of 147 kidney recipients treated at our center during the last 6 years developed severe bilateral symmetrical pain in the ankles and knees, with great difficulties in walking 2-3 months after kidney transplantation. Clinical examination revealed periarticular soft tissue swelling and vasomotor changes with no effusion. Patchy osteoporotic patterns were seen radiographically in clinically affected areas. Scintigraphy showed increased epiphyseal uptake of 99mTc with a periarticular distribution. Clinical symptoms, radiographic, and scintigraphic signs were compatible with so-called RSDS. The exact cause of the syndrome remained obscure. All patients received standard immunosuppression with cyclosporine A (CyA), azathioprine, and prednisone. Symptoms of RSDS improved when doses of CyA were reduced and blood levels declined; patients were treated with calcitonin and calcium channel blockers simultaneously. Non-steroidal antiinflammatory drugs were not effective in symptom relief. In all three cases, most probably spontaneous complete recovery was achieved over the course of 2-8 months; no one patient progressed to aseptic osteonecrosis.
MINOR MESH HEADINGS: Adult-; Middle-Age
MAJOR MeSH HEADINGS: *Kidney-Transplantation-adverse-effects; *Reflex-Sympathetic-Dystrophy-etiology
CHECKTAGS: Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 1998329712
UPDATE CODE: 199902
Record 3 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Sports injuries in the pelvis and hip: diagnostic imaging.
AUTHOR(S): De-Paulis-F; Cacchio-A; Michelini-O; Damiani-A; Saggini-R
ADDRESS OF AUTHOR: Department of Diagnostic Imaging-CT Service, S. Maria di Collemaggio, L'Aquila Hospital, Pettino-L'Aquila, Italy.
SOURCE (BIBLIOGRAPHIC CITATION): Eur-J-Radiol. 1998 May; 27 Suppl 1: S49-59
INTERNATIONAL STANDARD SERIAL NUMBER: 0720-048X
PUBLICATION YEAR: 1998
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: IRELAND
ABSTRACT: We discuss the role of imaging techniques in examining the athletes with sports injuries involving the pelvis and the hip. Pelvis and hip pain is of difficult clinical clarification because of the various athletic injuries which may affect the bone or soft tissues at different anatomic sites. Moreover, the symptoms of pelvis and hip injuries are similar in most cases and they are often diffuse and atypical. Diagnostic imaging can play an essential role because treatment success depends on a correct diagnosis and these techniques can actually differentiate the most frequent causes of pelvis and hip sports injuries such as groin strain, osteitis pubis, ischial intersection syndrome, snapping hip, stress fractures, hernias and avulsion fractures. Finally, we discuss the role of magnetic resonance imaging in detecting the causes of hip pain other than sports injuries, such as avascular necrosis, reflex sympathetic dystrophy syndrome, herniation pit, acetabular labrum injuries. To conclude, diagnostic imaging techniques currently permit the direct and noninvasive depiction of pelvis and hip conditions. Particularly, magnetic resonance imaging is very helpful in detecting injury site, extent and characteristics; it can also predict the time period an athlete will be disabled and help define the best treatment planning.
MINOR MESH HEADINGS: Cumulative-Trauma-Disorders-diagnosis; Diagnosis,-Differential; Dislocations-diagnosis; Fractures-diagnosis; Pain-etiology
MAJOR MeSH HEADINGS: *Athletic-Injuries-diagnosis; *Diagnostic-Imaging; *Hip-injuries; *Pelvis-injuries
CHECKTAGS: Human
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW,-TUTORIAL
MEDLINE ACCESSION NUMBER: 1998314610
UPDATE CODE: 199811
Record 4 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Review of the effectiveness of capsaicin for painful cutaneous disorders and neural dysfunction.
AUTHOR(S): Hautkappe-M; Roizen-MF; Toledano-A; Roth-S; Jeffries-JA; Ostermeier-AM
ADDRESS OF AUTHOR: Department of Anesthesia and Critical Care, the University of Chicago, Illinois 60637, USA.
SOURCE (BIBLIOGRAPHIC CITATION): Clin-J-Pain. 1998 Jun; 14(2): 97-106
INTERNATIONAL STANDARD SERIAL NUMBER: 0749-8047
PUBLICATION YEAR: 1998
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: BACKGROUND: Topical capsaicin is known to be a safe and effective pain management adjunct for rheumatoid arthritis, osteoarthritis, neuralgias, and diabetic neuropathy. However, studies and case reports in the literature have indicated that other conditions may also benefit from capsaicin: painful or itching cutaneous disorders from operations, injuries, or tumors; neural dysfunction; or inflammation of the airways and urinary tract. METHODS: To determine the effectiveness of capsaicin for painful cutaneous disorders and neural dysfunction, the authors analyzed data from 33 reports (MEDLINE search of 1966-96) on the efficacy of capsaicin. Outcome measures consisted of the response rate and degree of pain relief. Results from placebo-controlled trials were pooled when possible; effect of treatment was estimated by the method of DerSimonian and Laird. RESULTS: Pain relief for postmastectomy syndrome and cluster headache was greater with capsaicin than with placebo; also, psoriasis and pruritus responded better to capsaicin. Uncontrolled studies and case reports have indicated that pain or dysfunction was less at the end of capsaicin therapy for neck pain, loin pain/hematuria syndrome, oral mucositis, rhinopathy, reflex sympathetic dystrophy syndrome, detrusor hyperreflexia, and cutaneous pain due to tumor of the skin. CONCLUSIONS: Capsaicin is effective for psoriasis, pruritus, and cluster headache; it is often helpful for the itching and pain of postmastectomy pain syndrome, oral mucositis, cutaneous allergy, loin pain/hematuria syndrome, neck pain, amputation stump pain, and skin tumor; and it may be beneficial for neural dysfunction (detrusor hyperreflexia, reflex sympathetic dystrophy, and rhinopathy). A universal problem for many of the studies analyzed was the absence of a "burning placebo" such as camphor.
MINOR MESH HEADINGS: Pain-physiopathology
MAJOR MeSH HEADINGS: *Capsaicin-therapeutic-use; *Nervous-System-Diseases-drug-therapy; *Nervous-System-Diseases-physiopathology; *Pain-drug-therapy; *Skin-Diseases-drug-therapy; *Skin-Diseases-physiopathology
CHECKTAGS: Human; Support,-Non-U.S.-Gov't
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW,-TUTORIAL
CAS REGISTRY NUMBER OR EC NUMBER: 404-86-4
NAME OF SUBSTANCE: Capsaicin
MEDLINE ACCESSION NUMBER: 1998309665
UPDATE CODE: 199811
Record 5 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Epidural spinal cord stimulation for treatment of chronic pain--some predictors of success. A 15-year experience.
AUTHOR(S): Kumar-K; Toth-C; Nath-RK; Laing-P
ADDRESS OF AUTHOR: Department of Surgery, The Plains Health Centre, University of Saskatchewan, Regina, Canada.
SOURCE (BIBLIOGRAPHIC CITATION): Surg-Neurol. 1998 Aug; 50(2): 110-20; discussion 120-1
INTERNATIONAL STANDARD SERIAL NUMBER: 0090-3019
PUBLICATION YEAR: 1998
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: BACKGROUND: We have used epidural spinal cord stimulation (SCS) for pain control for the past 15 years. An analysis of our series of 235 patients has clarified the value of specific prognostic parameters in the prediction of successful SCS. METHODS: Patients were followed up for periods ranging from 6 months to 15 years with a mean follow-up of 66 months. The mean age of the 150 men and 85 women in the study was 51.4 years. Indications for SCS included failed back syndrome (114 patients), peripheral vascular disease (39 patients), peripheral neuropathy (30 patients), multiple sclerosis (13 patients), reflex sympathetic dystrophy (13 patients), and other etiologies of chronic intractable pain (26 patients). RESULTS: One hundred and eighty-nine patients received permanent devices; 111 (59%) of these patients continue to receive satisfactory pain relief. Pain attributable to failed back syndrome, reflex sympathetic dystrophy, peripheral vascular disease of lower limbs, multiple sclerosis, and peripheral neuropathy responded favorably to spinal cord stimulation. In contrast, paraplegic pain, cauda equina syndrome, stump pain, phantom limb pain, and primary bone and joint disease pain did not respond as well. Cases of cauda equina injury had promising initial pain relief, but gradually declined after a few years. After long-term follow-up, 47 of the 111 successfully implanted patients were gainfully employed, compared with 22 patients before implantation. The successful patients reported improvements in daily living as well as a decrease in analgesic usage. Multipolar stimulation systems were significantly more reliable (p < 0.001) than unipolar systems. Complications included hardware malfunction, electrode displacement, infection, and tolerance. CONCLUSION: Aside from etiologies of pain syndromes as a prognostic factor, we have identified other parameters of success. In patients who have undergone previous surgical procedures, the shorter the duration of time to implantation, the greater the rate of success (p < 0.001). The diagnosis of failed back syndrome must be considered a confounding factor in our analysis. Those patients whose pain did not follow a surgical procedure had better responses to SCS than patients who had multiple surgical procedures prior to their first implant. The advent of multipolar systems has significantly improved clinical reliability over unipolar systems. Age, sex, and laterality of pain did not prove to be of significance.
MINOR MESH HEADINGS: Adult-; Aged-; Aged,-80-and-over; Chronic-Disease; Electric-Stimulation-methods; Electric-Stimulation-Therapy-methods; Electrodes,-Implanted; Epidural-Space; Equipment-Failure; Follow-Up-Studies; Middle-Age; Pain-etiology; Prognosis-; Time-Factors
MAJOR MeSH HEADINGS: *Electric-Stimulation-Therapy; *Pain-therapy; *Spinal-Cord-physiology
CHECKTAGS: Female; Human; Male
PUBLICATION TYPE: CLINICAL-TRIAL; JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 1998364846
UPDATE CODE: 199810
Record 6 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Extension of reflex sympathetic dystrophy syndrome to a diaphyseal tibial bone graft? Report of two cases [letter]
AUTHOR(S): Cadu-C; Renier-JC; Lortat-Jacob-A; Benoit-J
SOURCE (BIBLIOGRAPHIC CITATION): Rev-Rhum-Engl-Ed. 1998 Apr; 65(4): 287-8
INTERNATIONAL STANDARD SERIAL NUMBER: 1169-8446
PUBLICATION YEAR: 1998
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: FRANCE
MINOR MESH HEADINGS: Adult-; Fibula-pathology; Fibula-surgery; Reflex-Sympathetic-Dystrophy-pathology; Tibia-pathology
MAJOR MeSH HEADINGS: *Ankle-pathology; *Bone-Transplantation-adverse-effects; *Reflex-Sympathetic-Dystrophy-etiology; *Tibia-surgery
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: LETTER
MEDLINE ACCESSION NUMBER: 1998262533
UPDATE CODE: 199809
Record 7 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Reflex sympathetic dystrophy syndrome in stroke patients with hemiplegia-three phase bone scintigraphy and clinical characteristics.
AUTHOR(S): Wang-YL; Tsau-JC; Huang-MH; Lee-BF; Li-CH
ADDRESS OF AUTHOR: Department of Rehabilitation, Chi-Mei Foundation Hospital, Taiwan, Republic of China.
SOURCE (BIBLIOGRAPHIC CITATION): Kao-Hsiung-I-Hsueh-Ko-Hsueh-Tsa-Chih. 1998 Jan; 14(1): 40-7
INTERNATIONAL STANDARD SERIAL NUMBER: 0257-5655
PUBLICATION YEAR: 1998
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: TAIWAN
ABSTRACT: In an attempt to investigate the correlation between three phase bone scintigraphy (TPBS) and the clinical manifestation of reflex sympathetic dystrophy syndrome (RSDS) in the upper extremity of hemiplegia, we collected 30 patients with cerebral vascular accidents (CVA) confirmed by head computed tomography (infarction or hemorrhage) within 3 months of their CVA event. All patients received TPBS after admission. Clinical assessment for the development of the RSDS was done at least 3 months (268 +/- 120 days) after the stroke. The correlation between the development of RSD and certain clinical variables (including sex, age, side affected, caused of stroke, and motor stage) were analyzed. Twelve patients (40%) manifested definite or probable RSDS, as assessed by Tepperman's criteria, during the follow-up period. Nineteen patients (63%) exhibited radionuclide evidence of RSDS based on delayed bone scan criteria performed within 3 months (43 +/- 25 days) of the stroke. The positive delayed image of TPBS demonstrated a sensitivity = 92%; specificity = 56%; positive predictive value = 58%, and negative predictive value = 91%. The Kappa statistics for agreement between positive bone scan and RSDS development was 70% (Kappa = 0.43, p < 0.05). Neither sex, age, side affected, cause of stroke, or motor stage had a significant correlation with clinical RSDS. In conclusion, TPBS is a useful screening tool for the development of RSD in hemiplegic patients. However, the diagnosis of RSDS depends on the clinical evaluation and that TPBS as an adjunct assessment of RSDS must be interpreted with caution.
MINOR MESH HEADINGS: Adult-; Aged-; Aged,-80-and-over; Middle-Age; Prospective-Studies
MAJOR MeSH HEADINGS: *Bone-and-Bones-radionuclide-imaging; *Cerebrovascular-Disorders-radionuclide-imaging; *Hemiplegia-radionuclide-imaging; *Reflex-Sympathetic-Dystrophy-radionuclide-imaging
CHECKTAGS: Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 1998180218
UPDATE CODE: 199806
SUBSET: DENTAL
Record 8 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Reflex sympathetic dystrophy: model of a severe regional inflammatory response syndrome.
AUTHOR(S): Goris-RJ
ADDRESS OF AUTHOR: Department of Surgery, University Hospital Nijmegen, The Netherlands.
SOURCE (BIBLIOGRAPHIC CITATION): World-J-Surg. 1998 Feb; 22(2): 197-202
INTERNATIONAL STANDARD SERIAL NUMBER: 0364-2313
PUBLICATION YEAR: 1998
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: The systemic inflammatory response syndrome (SIRS) and acute reflex sympathetic dystrophy syndrome (RSD) share clinical signs of severe inflammation, a protracted course, and a similar problem of impaired oxygen utilization. The difference is that SIRS patients have these signs and symptoms systemically and are severely ill in the intensive care unit (ICU), whereas acute RSD patients are in good health and their problems are limited to one extremity. Both conditions seem to be the result of an exaggerated inflammatory response. As RSD patients have a healthy contralateral extremity, they may be their own control in various flux studies. It is hypothesized that this situation is exquisitely suitable for studying the pathophysiology of severe inflammatory responses in humans. Only a few patients are required to perform studies of, for example, oxygen metabolism and cytokine or oxygen radical production. Assessment methods may be utilized, such as nuclear magnetic resonance spectroscopy, which cannot easily be performed in ICU patients.
MINOR MESH HEADINGS: Diagnosis,-Differential; Oxygen-Consumption-physiology; Reflex-Sympathetic-Dystrophy-diagnosis; Reflex-Sympathetic-Dystrophy-therapy; Sepsis-Syndrome-diagnosis; Sepsis-Syndrome-therapy
MAJOR MeSH HEADINGS: *Inflammation-physiopathology; *Reflex-Sympathetic-Dystrophy-physiopathology; *Sepsis-Syndrome-physiopathology
CHECKTAGS: Animal; Human
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW,-TUTORIAL
MEDLINE ACCESSION NUMBER: 1998113917
UPDATE CODE: 199804
Record 9 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Pinhole SPECT imaging in normal and morbid ankles.
AUTHOR(S): Bahk-YW; Chung-SK; Park-YH; Kim-SH; Lee-HK
ADDRESS OF AUTHOR: Department of Radiology, Samsung Cheil Hospital, Seoul, Korea.
SOURCE (BIBLIOGRAPHIC CITATION): J-Nucl-Med. 1998 Jan; 39(1): 130-9
INTERNATIONAL STANDARD SERIAL NUMBER: 0161-5505
PUBLICATION YEAR: 1998
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: Pinhole SPECT can generate sectional nuclear images of a normal and morbid ankle and hindfoot with remarkably enhanced resolution by portraying the topography and pathological alterations in great detail. METHODS: Pinhole SPECT was performed using a commercially available single-head, rotating gamma camera system by replacing the parallel-hole collimator used for planar SPECT with a pinhole collimator. The images were reconstructed in the same way as in planar SPECT by using the filtered back-projection algorithm and a Butterworth filter. First, we compared the scan resolution between the planar and pinhole SPECT images of a thyroid phantom and a normal ankle and hindfoot by working out pinhole SPECT anatomy with CT validation. Second, the clinical usefulness was assessed in one case each of fracture, reflex sympathetic dystrophy syndrome and rheumatoid arthritis of the ankle with radiographic correlation. The resolution of the pinhole SPECT and planar pinhole images was compared for these diseases. RESULTS: The resolution of the pinhole SPECT of a thyroid phantom and of a normal ankle and hindfoot was significantly enhanced compared to the planar SPECT although image distortion was seen in the periphery of the field-of-view. The pinhole SPECT resolution was such that most of the anatomical landmarks were sharply delineated in the ankle and hindfoot and some useful diagnostic signs in the diseased ankle were visible. CONCLUSION: Pinhole SPECT can be performed using a single-head gamma camera system and filtered back-projection algorithm. It generates sectional scan images of both normal and morbid ankle and hindfoot with enhanced resolution portraying many anatomical landmarks and pathological signs in useful detail.
MINOR MESH HEADINGS: Adult-; Algorithms-; Arthritis,-Rheumatoid-radionuclide-imaging; Fractures-radionuclide-imaging; Heel-radionuclide-imaging; Image-Processing,-Computer-Assisted; Middle-Age; Phantoms,-Imaging; Radiopharmaceuticals-diagnostic-use; Reflex-Sympathetic-Dystrophy-radionuclide-imaging; Sodium-Pertechnetate-Tc-99m-diagnostic-use; Talus-injuries; Technetium-Tc-99m-Medronate-analogs-and-derivatives; Technetium-Tc-99m-Medronate-diagnostic-use; Thyroid-Gland-radionuclide-imaging; Tomography,-Emission-Computed,-Single-Photon-instrumentation
MAJOR MeSH HEADINGS: *Ankle-radionuclide-imaging; *Ankle-Joint-radionuclide-imaging; *Tomography,-Emission-Computed,-Single-Photon-methods
CHECKTAGS: Female; Human; Male; Support,-Non-U.S.-Gov't
PUBLICATION TYPE: JOURNAL-ARTICLE
CAS REGISTRY NUMBER OR EC NUMBER: 0; 23288-60-0; 63347-66-0; 72945-61-0
NAME OF SUBSTANCE: Radiopharmaceuticals; Sodium-Pertechnetate-Tc-99m; Technetium-Tc-99m-Medronate; technetium-Tc-99m-hydroxymethylene-diphosphonate
MEDLINE ACCESSION NUMBER: 1998103989
UPDATE CODE: 199804
Record 10 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: More on reflex sympathetic dystrophy syndrome following air-bag inflation [letter; comment]
COMMENTS: Comment on: N Engl J Med 1997 Aug 21;337(8):574
AUTHOR(S): Guarino-AH
SOURCE (BIBLIOGRAPHIC CITATION): N-Engl-J-Med. 1998 Jan 29; 338(5): 335
INTERNATIONAL STANDARD SERIAL NUMBER: 0028-4793
PUBLICATION YEAR: 1998
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
MAJOR MeSH HEADINGS: *Air-Bags-adverse-effects; *Reflex-Sympathetic-Dystrophy-etiology
CHECKTAGS: Human
PUBLICATION TYPE: COMMENT; LETTER
MEDLINE ACCESSION NUMBER: 1998092089
UPDATE CODE: 199803
SUBSET: AIM
Record 11 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Extensive reflex sympathetic dystrophy syndrome of the lower limbs leading to a diagnosis of osteomalacia due to Fanconi syndrome [letter]
AUTHOR(S): Dumolard-A; Gaudin-P; Juvin-R; Asquier-C; Phelip-X
SOURCE (BIBLIOGRAPHIC CITATION): Rev-Rhum-Engl-Ed. 1997 Jul-Sep; 64(7-9): 519-20
INTERNATIONAL STANDARD SERIAL NUMBER: 1169-8446
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: FRANCE
MINOR MESH HEADINGS: Aged-; Aged,-80-and-over; Diagnosis,-Differential; Fanconi-Syndrome-complications; Fanconi-Syndrome-drug-therapy; Osteomalacia-complications; Osteomalacia-drug-therapy; Reflex-Sympathetic-Dystrophy-physiopathology; Vitamin-D-therapeutic-use
MAJOR MeSH HEADINGS: *Fanconi-Syndrome-diagnosis; *Leg-; *Osteomalacia-diagnosis; *Reflex-Sympathetic-Dystrophy-etiology
CHECKTAGS: Case-Report; Human; Male
PUBLICATION TYPE: LETTER
CAS REGISTRY NUMBER OR EC NUMBER: 1406-16-2
NAME OF SUBSTANCE: Vitamin-D
MEDLINE ACCESSION NUMBER: 1997480072
UPDATE CODE: 199801
Record 12 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Algodystrophy (reflex sympathetic dystrophy syndrome) and causalgia: novel concepts regarding the nosology, pathophysiology, and pathogenesis of complex regional pain syndromes. Is the sympathetic hyperactivity hypothesis wrong?
AUTHOR(S): Berthelot-JM; Glemarec-J; Guillot-P; Maugars-Y; Prost-A
ADDRESS OF AUTHOR: Rheumatology Department, Nantes Teaching Hospital, France.
SOURCE (BIBLIOGRAPHIC CITATION): Rev-Rhum-Engl-Ed. 1997 Jul-Sep; 64(7-9): 481-91
INTERNATIONAL STANDARD SERIAL NUMBER: 1169-8446
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: FRANCE
ABSTRACT: Concepts regarding the nosology, pathophysiology and pathogenesis of reflex sympathetic dystrophy syndrome are currently in a state of flux. Causalgia and reflex sympathetic dystrophy syndrome are now generally felt to be on the same continuum and as a result interest for defining criteria for the latter condition has waned. The pathogenic role of adrenergic sympathetic activity has been so successfully challenged that the last international consensus conference judged inappropriate any reference to the sympathetic system in the terms used to designate these conditions, thus confirming the position long defended by most French authors. The vasomotor abnormalities may be due to antidromic release of neuromediators by the endings of polymodal C fibers. These fibers do not belong to the sympathetic system but often travel with sympathetic nerves, a characteristic that may explain the efficacy of sympathetic nerve blocks, although other possibilities exist including a placebo effect. Also, efferent sympathetic fibers may undergo activation by nonadrenergic mediators. The mechanisms capable of initiating and perseverating activation of polymodal C afferents are being actively investigated and have been found to exhibit similarities with the mechanisms underlying peripheral and central sensitization of pain-producing afferents. Growth factors, such as nerve growth factor, may play an important role in causalgia. In "reflex sympathetic dystrophy syndrome", microcirculatory stasis may contribute to the initiation or perpetuatation of the disorders. Further work on the nerve supply to the venular network and on the venoarterial reflex is needed.
MINOR MESH HEADINGS: Causalgia-diagnosis; Causalgia-physiopathology; Diagnosis,-Differential; Pain-diagnosis; Pain-etiology; Reflex-Sympathetic-Dystrophy-diagnosis; Reflex-Sympathetic-Dystrophy-physiopathology; Syndrome-
MAJOR MeSH HEADINGS: *Causalgia-etiology; *Pain-physiopathology; *Reflex-Sympathetic-Dystrophy-etiology
CHECKTAGS: Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW,-ACADEMIC
MEDLINE ACCESSION NUMBER: 1997480063
UPDATE CODE: 199801
Record 13 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Two new case-reports of reflex sympathetic dystrophy syndrome in patients with osteogenesis imperfecta. Review of the literature [letter]
AUTHOR(S): Bouvier-M; Colson-F; Noel-E; Tebib-JG; Felman-C
SOURCE (BIBLIOGRAPHIC CITATION): Rev-Rhum-Engl-Ed. 1997 Mar; 64(3): 202-4
INTERNATIONAL STANDARD SERIAL NUMBER: 1169-8446
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: FRANCE
MINOR MESH HEADINGS: Adult-; Bone-Diseases,-Metabolic-radiography; Magnetic-Resonance-Imaging; Osteogenesis-Imperfecta-radiography; Pelvis-radiography; Syndrome-
MAJOR MeSH HEADINGS: *Osteogenesis-Imperfecta-complications; *Osteogenesis-Imperfecta-diagnosis; *Reflex-Sympathetic-Dystrophy-complications; *Reflex-Sympathetic-Dystrophy-diagnosis
CHECKTAGS: Case-Report; Human; Male
PUBLICATION TYPE: LETTER; REVIEW; REVIEW-OF-REPORTED-CASES
MEDLINE ACCESSION NUMBER: 1997246173
UPDATE CODE: 199709
Record 14 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Phosphate excretion in reflex sympathetic dystrophy syndrome before and after a single infusion of pamidronate.
AUTHOR(S): Laroche-M; Redon-Dumolard-A; Moulinier-L; Cantagrel-A; Mazieres-B
ADDRESS OF AUTHOR: Rheumatology Department, Rangueil Teaching Hospital, Toulouse, France.
SOURCE (BIBLIOGRAPHIC CITATION): Rev-Rhum-Engl-Ed. 1997 Mar; 64(3): 172-6
INTERNATIONAL STANDARD SERIAL NUMBER: 1169-8446
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: FRANCE
ABSTRACT: To clarify the relations between reflex sympathetic dystrophy syndrome and moderate phosphate diabetes, we prospectively determined urinary phosphate excretion parameters (clearance, renal tubular reabsorption of phosphate and threshold of tubular reabsorption of phosphate) in 37 patients with reflex sympathetic dystrophy syndrome before and after treatment with 60 mg of pamidronate (n = 23) and in 35 age- and sex-matched controls. Urinary phosphate excretion parameters were identical in cases and in controls. Fourteen of the 23 cases treated by pamidronate were improved after one to two months. Pamidronate had no effect on phosphate excretion. Four cases versus only one control had phosphate diabetes (X2 = 0.18). Three of the four cases with phosphate diabetes failed to respond to pamidronate therapy but improved under phosphate and 1,25-diOH vitamin D3 therapy.
MINOR MESH HEADINGS: Adult-; Aged-; Calcitriol-blood; Calcium-blood; Creatinine-blood; Hypophosphatemia,-Familial-blood; Hypophosphatemia,-Familial-urine; Middle-Age; Osteocalcin-blood; Parathyroid-Hormones-blood; Phosphates-blood; Prospective-Studies; Reflex-Sympathetic-Dystrophy-blood; Reflex-Sympathetic-Dystrophy-drug-therapy
MAJOR MeSH HEADINGS: *Diphosphonates-therapeutic-use; *Phosphates-urine; *Reflex-Sympathetic-Dystrophy-urine
CHECKTAGS: Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
CAS REGISTRY NUMBER OR EC NUMBER: 0; 0; 0; 104982-03-8; 32222-06-3; 40391-99-9; 60-27-5; 7440-70-2
NAME OF SUBSTANCE: Diphosphonates; Parathyroid-Hormones; Phosphates; Osteocalcin; Calcitriol; amidronate; Creatinine; Calcium
MEDLINE ACCESSION NUMBER: 1997246167
UPDATE CODE: 199709
Record 15 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: An X-ray absorptiometry study of reflex sympathetic dystrophy syndrome.
AUTHOR(S): Laroche-M; Redon-Dumolard-A; Mazieres-B; Bernard-J
ADDRESS OF AUTHOR: Rheumatology Department, Rangueil Teaching Hospital, Toulouse, France.
SOURCE (BIBLIOGRAPHIC CITATION): Rev-Rhum-Engl-Ed. 1997 Feb; 64(2): 106-11
INTERNATIONAL STANDARD SERIAL NUMBER: 1169-8446
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: FRANCE
ABSTRACT: X-ray absorptiometry (Lunar DPX) was performed before and after treatment to determine bone mineral content and density, as well as fat-free mass and body fat, in 28 males and 11 females with a mean age of 37 years who met Doury's criteria for reflex sympathetic dystrophy syndrome. Mean disease duration was eight months. Before treatment, as compared to the unaffected limb, bone mineral content was decreased by 8.8%, bone mineral density by 9.6%, and fat-free mass by 6.2%, whereas body fat was increased by 6%. These differences were largest in those patients with the longest disease durations. The severity of bone loss was not correlated with the outcome, the severity of roentgenographic lesions, or whether the patient was evaluated at the warm or cold stage of the disease process. Study parameters were unchanged after three months both in patients who were and were not improved. After nine to 12 months, increases in bone and fat-free mass were seen in those patients whose clinical manifestations had subsided.
MINOR MESH HEADINGS: Adolescence-; Adult-; Body-Composition; Bone-and-Bones-metabolism; Bone-and-Bones-pathology; Bone-and-Bones-radiography; Extremities-; Middle-Age; Reflex-Sympathetic-Dystrophy-pathology; Reflex-Sympathetic-Dystrophy-radiography; Time-Factors
MAJOR MeSH HEADINGS: *Densitometry,-X-Ray; *Reflex-Sympathetic-Dystrophy-diagnosis
CHECKTAGS: Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW,-TUTORIAL
MEDLINE ACCESSION NUMBER: 1997239784
UPDATE CODE: 199708
Record 16 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Use of pamidronate in chronic and acute bone loss conditions.
AUTHOR(S): Devogelaer-JP; Nagant-de-Deuxchaisnes-C
ADDRESS OF AUTHOR: Rheumatology Unit, Louvain University, Brussels, Belgium.
SOURCE (BIBLIOGRAPHIC CITATION): Medicina-B-Aires. 1997; 57 Suppl 1: 101-8
INTERNATIONAL STANDARD SERIAL NUMBER: 0025-7680
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: ARGENTINA
ABSTRACT: Involutional osteoporosis (OP), Osteogenesis imperfecta (OI) and Reflex sympathetic dystrophy syndrome (RSDS) are conditions in which an increase in bone resorption has been described. It therefore seems logical to prescribe a potent inhibitor of bone resorption like pamidronate (APD) in a patient suffering from any of these conditions. In our experience, oral as well as intravenous APD therapy was able to increase significantly bone mineral density (BMD) in patients with OP. This increase was more marked at the lumbar spine than at the proximal femur. With cyclical intermittent APD therapy, a plateauing effect in the BMD results during the third year appeared. After weaning from APD therapy, a remanent effect was observed: no loss of bone apparently occurred for at least two years, but the biological remodeling parameters re-increased earlier. The protective action on OP fractures has still to be clearly demonstrated, however. In children with OI, oral APD therapy has produced a dramatic increase in bone mass, without adversely interfering with the growth spur. The effect on fracture rate is still debatable in such a protean condition. Intravenous APD administered daily for twelve days has provoked a dramatic improvement in patients with long lasting RSDS which had resisted to various well-accepted therapies. However, this was an open trial, and these favorable preliminary results should be confirmed in a double-blind study.
MINOR MESH HEADINGS: Acute-Disease; Bone-Density-drug-effects; Chronic-Disease
MAJOR MeSH HEADINGS: *Bone-Resorption-drug-therapy; *Diphosphonates-therapeutic-use; *Osteogenesis-Imperfecta-drug-therapy; *Osteoporosis-drug-therapy; *Reflex-Sympathetic-Dystrophy-drug-therapy
CHECKTAGS: Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
CAS REGISTRY NUMBER OR EC NUMBER: 0; 40391-99-9
NAME OF SUBSTANCE: Diphosphonates; amidronate
MEDLINE ACCESSION NUMBER: 1998228761
UPDATE CODE: 199808
Record 17 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Axillary brachial plexus blockade for the reflex sympathetic dystrophy syndrome.
AUTHOR(S): Ribbers-GM; Geurts-AC; Rijken-RA; Kerkkamp-HE
ADDRESS OF AUTHOR: Rehabilitation Centre Rijndam, Rotterdam, The Netherlands.
SOURCE (BIBLIOGRAPHIC CITATION): Int-J-Rehabil-Res. 1997 Dec; 20(4): 371-80
INTERNATIONAL STANDARD SERIAL NUMBER: 0342-5282
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: ENGLAND
ABSTRACT: The reflex sympathetic dystrophy syndrome (RSD) is a neurogenic pain syndrome that is characterized by pain, vasomotor and dystrohic changes and often motor impairments. Although the exact pathogenesis of RSD is unknown, for long the sympathetic nervous system was thought to play a dominant role and pharmacological and surgical sympathectomies have been a mainstay in treatment procedures. However, there is growing evidence of a pivotal role of C- and A delta-fibres in the aetiology of RSD. These fibres subserve a dual sensory-effector function. Besides the initiation of afferent impulses, they release neuropeptide mediators that cause a peripheral neurogenic inflammatory reaction and central neuroplastic reactions. Brachial plexus blockade (BPB) with local anaesthetic drugs interferes with the conduction of action potentials along both sympathetic efferents and the somatosensory C- and A delta-afferents and therefore seems a potential treatment modality in RSD. The aim of this study was to draw attention on this regional anaesthetic technique that is not commonly used in RSD. In this study six patients with severe RSD of an upper extremity in varying stages were treated with BPB in the multidisciplinary setting of an out-patient rehabilitation clinic with a follow-up of 12 to 21 months. The study was not placebo controlled. Three patients responded well. In these cases the treatment interval varied from 3 to 6 months, one case had RSD stage 1 and the two others stage 2. Three patients showed poor response. In one of these patients the initial effect was good but due to an infection at the insertion site of the catheter BPB had to be discontinued. The other two poor-responders had treatment intervals of 7 and 25 months and both had stage 3 RSD. We conclude that there is theoretical and clinical support to further evaluate the effect of BPB as a treatment modality in the early stages of RSD.
MINOR MESH HEADINGS: Adult-; Axilla-; Middle-Age; Treatment-Outcome
MAJOR MeSH HEADINGS: *Brachial-Plexus; *Nerve-Block-methods; *Reflex-Sympathetic-Dystrophy-therapy
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: CLINICAL-TRIAL; JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 1998120724
UPDATE CODE: 199806
Record 18 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: The enduring mark left by Jean-Martin Charcot on rheumatology.
AUTHOR(S): Lagier-R
ADDRESS OF AUTHOR: Department of Pathology, Geneva Medical School, Switzerland.
SOURCE (BIBLIOGRAPHIC CITATION): Rev-Rhum-Engl-Ed. 1997 Dec; 64(12): 809-15
INTERNATIONAL STANDARD SERIAL NUMBER: 1169-8446
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: FRANCE
ABSTRACT: Although Charcot is remembered above all as an outstanding neurologist, he also left a lasting imprint on the study of rheumatic diseases, primarily in two fields. a) He performed a pathologic-nosographic confrontation based on principles that remain relevant in today's era of imaging techniques. His vision as a pathologist allowed him to establish links between nonspecific lesions, which led him to develop a unified concept of chronic rheumatism. At the same time however, his experience as a clinician gave him a sense of the nosologic distinctions that are widely accepted today. b) He analyzed osteoarticular dystrophies associated with neurologic disorders, most notably tabetic arthropathies with epiphyseal fragmentation and in some instances spontaneous fractures. In addition, a constellation of alterations of the synovial membrane, ligaments, and muscles identified in those analyses foreshadowed today's concept of reflex sympathetic dystrophy syndrome.
MINOR MESH HEADINGS: Arthropathy,-Neurogenic-history; France-; Gout-history; History-of-Medicine,-20th-Cent.; Reflex-Sympathetic-Dystrophy-history; Rheumatic-Diseases-history
MAJOR MeSH HEADINGS: *Rheumatology-history
CHECKTAGS: Human
PUBLICATION TYPE: BIOGRAPHY; HISTORICAL-ARTICLE; JOURNAL-ARTICLE
PERSONAL NAME AS SUBJECT: Charcot-JM
MEDLINE ACCESSION NUMBER: 1998136747
UPDATE CODE: 199806
Record 19 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Cluster headache after orbital exenteration.
AUTHOR(S): Evers-S; Soros-P; Brilla-R; Gerding-H; Husstedt-IW
ADDRESS OF AUTHOR: Department of Neurology, University of Munster, Germany.
SOURCE (BIBLIOGRAPHIC CITATION): Cephalalgia. 1997 Oct; 17(6): 680-2
INTERNATIONAL STANDARD SERIAL NUMBER: 0333-1024
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: NORWAY
ABSTRACT: A 37-year-old man developed an ipsilateral headache which fulfilled the criteria for cluster headache after orbital extenteration because of a traumatic lesion of the bulb. The headache could be treated successfully by drugs usually applied in the therapy of cluster headache. Six similar cases of cluster headache after orbital exenteration could be identified in the literature suggesting that the eye itself is not necessarily part of the pathogenesis of cluster headache. We hypothesize that orbital exenteration can cause cluster headache by lesions of sympathetic structures. Possibly, these mechanisms are similar to those of sympathetic reflex dystrophy (Sudeck-Leriche syndrome) causing pain of the limbs.
MINOR MESH HEADINGS: Adult-
MAJOR MeSH HEADINGS: *Cluster-Headache-etiology; *Orbit-Evisceration-adverse-effects
CHECKTAGS: Case-Report; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW-OF-REPORTED-CASES
MEDLINE ACCESSION NUMBER: 1998011475
UPDATE CODE: 199802
Record 20 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Osteopenia, bone fragility and reflex sympathetic dystrophy syndrome in a man with ureterosigmoidostomy.
AUTHOR(S): Lauwerys-BR; Dufour-JP; Noel-H; Vande-Berg-B; Devogelaer-JP
ADDRESS OF AUTHOR: Rheumatology Unit, St.-Luc University Hospital, Louvain University, Brussels, Belgium.
SOURCE (BIBLIOGRAPHIC CITATION): Osteoporos-Int. 1997; 7(4): 359-62
INTERNATIONAL STANDARD SERIAL NUMBER: 0937-941X
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: ENGLAND
ABSTRACT: A 68-year-old man is presented with a reflex sympathetic dystrophy syndrome (RSDS) of the right ankle diagnosed by radiography, magnetic resonance imaging and bone scintiscan. Investigations, including blood tests and bone biopsy, revealed a diagnosis of metabolic acidosis and osteomalacia. These appeared to result from a ureterosigmoidostomy performed 9 years previously for a transitional carcinoma of the bladder. Correction of the metabolic acidosis coincided with improvement in ankle pain. RSDS may be the initial presentation of osteomalacia, which in turn may be caused by the metabolic acidosis resulting from a ureterosigmoidostomy.
MINOR MESH HEADINGS: Acidosis-complications; Aged-; Ankle-radiography; Bone-Resorption-etiology; Magnetic-Resonance-Imaging; Osteomalacia-radiography; Sigmoid-
MAJOR MeSH HEADINGS: *Osteomalacia-complications; *Postoperative-Complications; *Reflex-Sympathetic-Dystrophy-complications; *Ureterostomy-
CHECKTAGS: Case-Report; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW-OF-REPORTED-CASES
MEDLINE ACCESSION NUMBER: 1998040902
UPDATE CODE: 199802
Record 21 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Reflex sympathetic dystrophy syndrome with microtrabecular fracture in a patient with osteogenesis imperfecta.
AUTHOR(S): Neri-R; Martini-A; Trippi-D; Zampa-V; Pasero-G
ADDRESS OF AUTHOR: Institute of Medical Pathology, Rheumatology Unit, University of Pisa, Italy.
SOURCE (BIBLIOGRAPHIC CITATION): Clin-Rheumatol. 1997 Jun; 16(4): 363-6
INTERNATIONAL STANDARD SERIAL NUMBER: 0770-3198
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: BELGIUM
ABSTRACT: A case of reflex sympathetic dystrophy syndrome (RSDS) in a patient with osteogenesis imperfecta (OI) is reported. We discuss the association of OI, manifested by microfractures of the trabecular bone due to marked bone fragility, and the appearance of RSDS. Magnetic resonance imaging (MRI) was helpful in assessing the presence and extent of the trabecular fractures.
MINOR MESH HEADINGS: Ankle-radiography; Fractures-complications; Knee-radiography; Magnetic-Resonance-Imaging; Middle-Age; Osteogenesis-Imperfecta-radiography; Reflex-Sympathetic-Dystrophy-radiography; X-Rays
MAJOR MeSH HEADINGS: *Osteogenesis-Imperfecta-complications; *Reflex-Sympathetic-Dystrophy-complications
CHECKTAGS: Case-Report; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 1997402185
UPDATE CODE: 199711
Record 22 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Reflex sympathetic dystrophy syndrome following air-bag inflation [letter] [see comments]
COMMENTS: Comment in: N Engl J Med 1998 Jan 29;338(5):335
AUTHOR(S): Shah-N; Weinstein-A
SOURCE (BIBLIOGRAPHIC CITATION): N-Engl-J-Med. 1997 Aug 21; 337(8): 574
INTERNATIONAL STANDARD SERIAL NUMBER: 0028-4793
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
MINOR MESH HEADINGS: Accidents,-Traffic; Adult-; Dislocations-etiology; Wrist-Injuries-etiology
MAJOR MeSH HEADINGS: *Air-Bags-adverse-effects; *Reflex-Sympathetic-Dystrophy-etiology
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: LETTER
MEDLINE ACCESSION NUMBER: 1997390220
UPDATE CODE: 199710
SUBSET: AIM
Record 23 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Eating disorders and reflex sympathetic dystrophy syndrome: is there a common pathway?
AUTHOR(S): Silber-TJ
ADDRESS OF AUTHOR: Department of Adolescent and Young Adult Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
SOURCE (BIBLIOGRAPHIC CITATION): Med-Hypotheses. 1997 Mar; 48(3): 197-200
INTERNATIONAL STANDARD SERIAL NUMBER: 0306-9877
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: ENGLAND
ABSTRACT: The comorbidity of eating disorders and reflex sympathetic dystrophy syndrome in the same patients raises the possibility of a common pathway for both conditions. Reflex sympathetic dystrophy syndrome may be manifesting itself in those individuals who have sympathetic overdrive. Microtrauma, often induced by compulsive exercise, and depression may be contributory factors. It is recommended that: patients with eating disorders who develop pain in an extremity should be investigated for possible reflex sympathetic dystrophy syndrome; patients with reflex sympathetic dystrophy syndrome should be discouraged from dieting, and eating disorders should be suspected if they begin to lose weight or are already malnourished.
MINOR MESH HEADINGS: Comorbidity-; Eating-Disorders-physiopathology; Pain-; Perception-; Reflex-Sympathetic-Dystrophy-physiopathology
MAJOR MeSH HEADINGS: *Eating-Disorders-epidemiology; *Models,-Biological; *Reflex-Sympathetic-Dystrophy-epidemiology
CHECKTAGS: Human
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW,-TUTORIAL
MEDLINE ACCESSION NUMBER: 1997285663
UPDATE CODE: 199709
Record 24 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Complex regional pain syndrome (reflex sympathetic dystrophy and causalgia): management with the calcium channel blocker nifedipine and/or the alpha-sympathetic blocker phenoxybenzamine in 59 patients.
AUTHOR(S): Muizelaar-JP; Kleyer-M; Hertogs-IA; DeLange-DC
ADDRESS OF AUTHOR: Department of Neurosurgery, University of California, Davis, Sacramento 95817, USA.
SOURCE (BIBLIOGRAPHIC CITATION): Clin-Neurol-Neurosurg. 1997 Feb; 99(1): 26-30
INTERNATIONAL STANDARD SERIAL NUMBER: 0303-8467
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: NETHERLANDS
ABSTRACT: Complex Regional Pain Syndrome (CRPS) is the new name for entities formerly known mostly as Reflex Sympathetic Dystrophy and Causalgia. Treatment of CRPS with either the calcium channel blocker nifedipine or the alpha-sympathetic blocker phenoxybenzamine was assessed in 59 patients, 12 with early stages of CRPS, 47 with chronic stage CRPS. In the early stage CRPS patients, 3 of 5 were cured with nifedipine and 8 of 9 (2 of whom had earlier received nifedipine) with phenoxybenzamine, for a cure rate of 92% (11 out of 12). In the chronic stage CRPS patients, 10 of 30 were cured with nifedipine; phenoxybenzamine cured 7 of 17 patients when administered as a first choice and another 2 of 7 patients who received nifedipine earlier, for a total late stage success rate of 40% (19 out of 47). The most common side effects necessitating discontinuing the drug were headaches for nifedipine and orthostatic dizziness, nausea and diarrhoea for phenoxybenzamine. All male patients on phenoxybenzamine experienced impotence, but this did not lead to discontinuing this agent and immediately disappeared after stopping the drug. These results once again stress the importance of early recognition of CRPS, and treatment with either of these drugs could be considered as a first choice for early CRPS, especially because in this series this treatment was not combined with physical therapy making it very cost-effective. In the chronic stage of CRPS, treatment with these drugs was much less successful (40%), even though it was always combined with physical therapy, but it can still be considered, either as a first choice or when other types of treatment have failed.
MINOR MESH HEADINGS: Adolescence-; Adrenergic-alpha-Antagonists-adverse-effects; Adult-; Aged-; Calcium-Channel-Blockers-adverse-effects; Causalgia-diagnosis; Causalgia-etiology; Child-; Dose-Response-Relationship,-Drug; Drug-Administration-Schedule; Middle-Age; Neurologic-Examination-drug-effects; Nifedipine-adverse-effects; Pain-Measurement; Phenoxybenzamine-adverse-effects; Reflex-Sympathetic-Dystrophy-diagnosis; Reflex-Sympathetic-Dystrophy-etiology; Retrospective-Studies; Wounds,-Gunshot-complications
MAJOR MeSH HEADINGS: *Adrenergic-alpha-Antagonists-therapeutic-use; *Calcium-Channel-Blockers-therapeutic-use; *Causalgia-drug-therapy; *Nifedipine-therapeutic-use; *Phenoxybenzamine-therapeutic-use; *Reflex-Sympathetic-Dystrophy-drug-therapy
CHECKTAGS: Comparative-Study; Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
CAS REGISTRY NUMBER OR EC NUMBER: 0; 0; 21829-25-4; 59-96-1
NAME OF SUBSTANCE: Adrenergic-alpha-Antagonists; Calcium-Channel-Blockers; Nifedipine; Phenoxybenzamine
MEDLINE ACCESSION NUMBER: 1997261537
UPDATE CODE: 199708
Record 25 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Bisphosphonate therapy of reflex sympathetic dystrophy syndrome.
AUTHOR(S): Adami-S; Fossaluzza-V; Gatti-D; Fracassi-E; Braga-V
ADDRESS OF AUTHOR: COC di Valeggio, University of Verona, Valeggio, Italy.
SOURCE (BIBLIOGRAPHIC CITATION): Ann-Rheum-Dis. 1997 Mar; 56(3): 201-4
INTERNATIONAL STANDARD SERIAL NUMBER: 0003-4967
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: ENGLAND
ABSTRACT: OBJECTIVE: The reflex sympathetic dystrophy syndrome (RSDS) is a painful limb disorder, for which a consistently effective treatment has not yet been identified. The disease is associated with increased bone resorption and patchy osteoporosis, which might benefit from treatment with bisphosphonates, powerful inhibitors of bone resorption. METHODS: Twenty patients with RSDS of foot and hand, were randomly assigned to blind administration of either alendronate intravenously (Istituto Gentili, Pisa, Italy) 7.5 mg dissolved in 250 ml saline solution or placebo saline infusions daily for three days. Two weeks later all patients had an identical treatment course with open labelled alendronate (7.5 mg/day for three days), independent from the results of the first blind treatment. RESULTS: In the patients treated with blind alendronate the diminution in spontaneous pain, tenderness, and swelling (circumference of the affected limb) and the improvement in motion were significantly different from baseline (p < 0.001), from those observed within the first two weeks in the control group (p < 0.01), and from week 2 to week 4 (p < 0.01). In the patients given blind placebo infusions no relevant symptomatic changes were observed after the first two weeks of follow up, but they responded to the open alendronate therapy given afterwards. In 12 patients with RSDS of the hand the ultradistal bone mineral content (BMC) of the affected arm was considerably lower than that of the controlateral arm (mean (SD)) (426(82) mg/cm versus 688(49)). Six weeks after the beginning of the trial BMC rose by 77(12) mg/cm (p < 0.001) in the affected arm, but it did not change in the controlateral. CONCLUSIONS: These results indicate that bisphosphonates should be considered for the treatment of RSDS, producing consistent and rapid remission of the disease.
MINOR MESH HEADINGS: Adult-; Aged-; Aged,-80-and-over; Arm-physiology; Bone-Density; Double-Blind-Method; Middle-Age; Reflex-Sympathetic-Dystrophy-physiopathology
MAJOR MeSH HEADINGS: *Alendronate-therapeutic-use; *Reflex-Sympathetic-Dystrophy-drug-therapy
CHECKTAGS: Female; Human; Male
PUBLICATION TYPE: CLINICAL-TRIAL; JOURNAL-ARTICLE; RANDOMIZED-CONTROLLED-TRIAL
CAS REGISTRY NUMBER OR EC NUMBER: 66376-36-1
NAME OF SUBSTANCE: Alendronate
MEDLINE ACCESSION NUMBER: 1997280919
UPDATE CODE: 199707
Record 26 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: The spinal component to skin blood flow abnormalities in reflex sympathetic dystrophy.
AUTHOR(S): Kurvers-HA; Jacobs-MJ; Beuk-RJ; van-den-Wildenberg-FA; Kitslaar-PJ; Slaaf-DW; Reneman-RS
ADDRESS OF AUTHOR: Department of Surgery, University Hospital Maastricht, The Netherlands.
SOURCE (BIBLIOGRAPHIC CITATION): Arch-Neurol. 1997 Jan; 53(1): 58-65
INTERNATIONAL STANDARD SERIAL NUMBER: 0003-9942
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: OBJECTIVE: To determine whether the mechanisms of reflex sympathetic dystrophy, a neuropathic pain syndrome characterized by skin blood flow abnormalities associated with sympathetic vasoconstrictor and antidromic vasodilator mechanisms, are solely of peripheral origin or have an additional spinal component and act exclusively through neural or also involve humoral pathways. PATIENTS: The 54 patients with unilateral reflex sympathetic dystrophy were divided into the following three stages according to their perception of skin temperature in the clinically affected hand: stage I, stationary warmth sensation; stage II, intermittent warmth and cold sensation; and stage III, stationary cold sensation. METHODS: Investigation of basal skin blood flow and vasoconstrictive response to dependency of skin microvessels in the clinically unaffected hand and the clinically affected hand of patients with reflex sympathetic dystrophy and the left hand of 16 control subjects. Microcirculation was investigated at the predominantly neurally controlled thermoregulatory level (Doppler laser flowmetry) and at the predominantly humorally controlled nutritive level (capillary microscopy). RESULTS: In the clinically unaffected hand, at the thermoregulatory level of the microcirculation: (1) basal skin blood flow was increased at stage I compared with the control subjects, whereas no differences could be observed at this stage compared with the clinically affected hand; (2) the vasoconstrictive response to dependency (defined as skin blood flow at heart level divided by skin blood flow in the dependent position) was attenuated at stage I compared with the control subjects, whereas no differences could be observed at this stage compared with the clinically affected hand; and (3) basal skin blood flow and the vasoconstrictive response to dependency did not differ from the control subjects at stages II and III. In the clinically unaffected hand, at the nutritive level, no differences could be observed at any stage of the syndrome compared with the control subjects. CONCLUSIONS: This study indicates that there is a spinal component to microcirculatory abnormalities at stage I of the reflex sympathetic dystrophy syndrome that most likely acts through neural (antidromic vasodilator) mechanisms and that may be initiated by traumatic excitation of a peripheral nerve on the clinically affected side.
MINOR MESH HEADINGS: Adult-; Aged-; Capillaries-pathology; Coronary-Circulation; Laser-Doppler-Flowmetry; Middle-Age; Regional-Blood-Flow; Skin-Temperature; Vasoconstriction-
MAJOR MeSH HEADINGS: *Reflex-Sympathetic-Dystrophy-physiopathology; *Skin-blood-supply; *Spinal-Cord-physiopathology
CHECKTAGS: Female; Human; Male; Support,-Non-U.S.-Gov't
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 1996133379
UPDATE CODE: 199606
SUBSET: AIM
Record 27 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Rheumatic manifestations due to human parvovirus B19. A report of four cases.
AUTHOR(S): Golstein-MA; Semaille-P; Steinfeld-S
ADDRESS OF AUTHOR: Department of Rheumatology, Cesar de Paepe Hospital, Brussells, Belgium.
SOURCE (BIBLIOGRAPHIC CITATION): Rev-Rhum-Engl-Ed. 1996 Dec; 63(11): 854-8
INTERNATIONAL STANDARD SERIAL NUMBER: 1169-8446
PUBLICATION YEAR: 1996
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: FRANCE
ABSTRACT: Human parvovirus B19 has been incriminated in the genesis of hematologic, dermatologic, neurologic, and rheumatic disorders. We report four cases in which inflammatory rheumatic manifestations developed during the course of human parvovirus B19 infection documented by the presence of IgM and IgG antibodies. There was one case each of monoarthritis, oligoarthritis, polyarthritis, and enthesitis. Three patients had a favorable outcome under nonsteroidal antiinflammatory drug therapy, and one developed reflex sympathetic dystrophy syndrome. In patients with inflammatory rheumatic manifestations that do not fit any specific diagnosis, a careful family history can provide evidence suggesting human parvovirus B19 infection, which should be confirmed by tests for IgM and IgG antibodies.
MINOR MESH HEADINGS: Adult-; Anti-Inflammatory-Agents,-Non-Steroidal-therapeutic-use; Follow-Up-Studies; Middle-Age; Parvoviridae-Infections-diagnosis; Parvoviridae-Infections-drug-therapy; Rheumatic-Diseases-drug-therapy; Rheumatic-Diseases-physiopathology
MAJOR MeSH HEADINGS: *Antibodies,-Viral-analysis; *Parvoviridae-immunology; *Parvoviridae-Infections-complications; *Rheumatic-Diseases-etiology
CHECKTAGS: Case-Report; Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW-OF-REPORTED-CASES
CAS REGISTRY NUMBER OR EC NUMBER: 0; 0
NAME OF SUBSTANCE: Anti-Inflammatory-Agents,-Non-Steroidal; Antibodies,-Viral
MEDLINE ACCESSION NUMBER: 1997164261
UPDATE CODE: 199706
Record 28 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Isotope imaging.
AUTHOR(S): Ryan-PJ; Fogelman-I
ADDRESS OF AUTHOR: Medway Hospital Trust, Gillingham, Kent, UK.
SOURCE (BIBLIOGRAPHIC CITATION): Baillieres-Clin-Rheumatol. 1996 Nov; 10(4): 589-613
INTERNATIONAL STANDARD SERIAL NUMBER: 0950-3579
PUBLICATION YEAR: 1996
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: ENGLAND
ABSTRACT: Patients with a wide variety of rheumatological conditions can be usefully investigated by nuclear medicine techniques and particularly by bone scintigraphy. This aspect of nuclear medicine work is increasing and the trend can be expected to continue. The principal conditions that can be imaged are sports medicine injuries, osteomyelitis, avascular necrosis, reflex sympathetic dystrophy syndrome, enthesopathies and bio-mechanical stress lesions, inflammatory arthropathies, metabolic bone disease and miscellaneous bone conditions such as costo-chondritis. Single photon emission tomography (SPECT) has provided new indications for bone scintigraphy such as the evaluation of spondylolysis and facet syndrome in the spine and of meniscal tears and ligamental lesions.
MINOR MESH HEADINGS: Arthritis-radionuclide-imaging; Athletic-Injuries-radionuclide-imaging; Bone-Diseases,-Metabolic-radionuclide-imaging; Osteomyelitis-radionuclide-imaging; Reflex-Sympathetic-Dystrophy-radionuclide-imaging
MAJOR MeSH HEADINGS: *Bone-Diseases-radionuclide-imaging; *Joint-Diseases-radionuclide-imaging; *Rheumatic-Diseases-radionuclide-imaging; *Tomography,-Emission-Computed,-Single-Photon
CHECKTAGS: Human
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW,-TUTORIAL
MEDLINE ACCESSION NUMBER: 1997117312
UPDATE CODE: 199705
Record 29 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Dual energy X-ray absorptiometry in patients with lower limb reflex sympathetic dystrophy syndrome [see comments]
COMMENTS: Comment in: J Rheumatol 1997 Apr;24(4):812-4
AUTHOR(S): Chapurlat-RD; Duboeuf-FP; Liens-D; Meunier-PJ
ADDRESS OF AUTHOR: INSERM Unit 403, Edouard Herriot Hospital, Lyon, France.
SOURCE (BIBLIOGRAPHIC CITATION): J-Rheumatol. 1996 Sep; 23(9): 1557-9
INTERNATIONAL STANDARD SERIAL NUMBER: 0315-162X
PUBLICATION YEAR: 1996
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: CANADA
ABSTRACT: OBJECTIVE: To assess the difference in bone mineral density (BMD) between pathologic and healthy legs in reflex sympathetic dystrophy syndrome (RSDS) using a whole body BMD with dual energy X-ray absorptiometry (DEXA). METHODS: Cross sectional evaluation of BMD in 55 patients with RSDS compared BMD of the affected and the healthy limb with 121 controls. Followup was performed on 21 patients treated with intravenous pamidronate. RESULTS: In the cross sectional study, BMD was reduced in the dystrophic affected extremities and this reduction correlated with the duration of evolution of the disease. In the longitudinal study, BMD remained stable in patients treated with pamidronate. CONCLUSION: The cross sectional study confirms that DEXA is not a diagnostic tool. The longitudinal study confirms DEXA is accurate, nontraumatic, rapid, and safe for longterm quantitative assessment of unilateral bone loss caused by lower limb RSDS.
MINOR MESH HEADINGS: Adult-; Cross-Sectional-Studies; Injections,-Intravenous; Longitudinal-Studies; Middle-Age; Reference-Values
MAJOR MeSH HEADINGS: *Bone-Density; *Densitometry,-X-Ray; *Diphosphonates-therapeutic-use; *Leg-radiography; *Reflex-Sympathetic-Dystrophy-drug-therapy; *Reflex-Sympathetic-Dystrophy-radiography
CHECKTAGS: Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
CAS REGISTRY NUMBER OR EC NUMBER: 0; 40391-99-9
NAME OF SUBSTANCE: Diphosphonates; amidronate
MEDLINE ACCESSION NUMBER: 1997032019
UPDATE CODE: 199703
Record 30 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Reflex sympathetic dystrophy syndrome following acute gouty arthritis.
AUTHOR(S): Zucchi-F; Varenna-M; Binelli-L; Sinigaglia-L
ADDRESS OF AUTHOR: Chair of Rheumatology, University of Milan, Gaetano Pini Institute, Milan, Italy.
SOURCE (BIBLIOGRAPHIC CITATION): Clin-Exp-Rheumatol. 1996 Jul-Aug; 14(4): 417-20
INTERNATIONAL STANDARD SERIAL NUMBER: 0392-856X
PUBLICATION YEAR: 1996
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: ITALY
ABSTRACT: The unusual case of reflex sympathetic dystrophy syndrome caused by an acute attack of gout is reported. The syndrome, involving the left ankle and hindfoot, developed twelve days after a classical gouty attack involving the first metatarso-phalangeal joint of the same foot. Diagnosis was based on X-ray and scintigraphic and MRI changes A prompt clinical remission was achieved with a short course of i.v. clodronate.
MINOR MESH HEADINGS: Acute-Disease; Analgesics,-Non-Narcotic-administration-and-dosage; Analgesics,-Non-Narcotic-therapeutic-use; Arthritis,-Gouty-diagnosis; Arthritis,-Gouty-drug-therapy; Clodronic-Acid-administration-and-dosage; Clodronic-Acid-therapeutic-use; Infusions,-Intravenous; Magnetic-Resonance-Imaging; Middle-Age; Radionuclide-Imaging; Reflex-Sympathetic-Dystrophy-diagnosis; Reflex-Sympathetic-Dystrophy-drug-therapy; Remission-Induction; Syndrome-
MAJOR MeSH HEADINGS: *Arthritis,-Gouty-complications; *Reflex-Sympathetic-Dystrophy-etiology
CHECKTAGS: Case-Report; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
CAS REGISTRY NUMBER OR EC NUMBER: 0; 10596-23-3
NAME OF SUBSTANCE: Analgesics,-Non-Narcotic; Clodronic-Acid
MEDLINE ACCESSION NUMBER: 1997025663
UPDATE CODE: 199703
Record 31 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Spontaneous fusion of the midfoot following reflex sympathetic dystrophy. A case report and review of the literature.
AUTHOR(S): Stratton-NJ; Sharpe-KP; Thordarson-DB
ADDRESS OF AUTHOR: LAC/USC Medical Center, USA.
SOURCE (BIBLIOGRAPHIC CITATION): Am-J-Orthop. 1996 Jul; 25(7): 497-9
INTERNATIONAL STANDARD SERIAL NUMBER: 1078-4519
PUBLICATION YEAR: 1996
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: Reflex sympathetic dystrophy syndrome (RSDS) is a well-defined entity, caused by many clinical conditions, leading to pain, stiffness, and vasomotor changes in the affected region. In this case, a 49-year-old man presented with a history of right foot pain secondary to a fall. Plain radiographs did not reveal any fractures or bony fusions. Upon follow-up, a history consistent with that found in RSDS was given. Radiographs at 7 and 11 weeks revealed increasing osteopenia, lytic lesions, and absent joint spaces in the first through third metatarsocuneiform articulations suggesting ankylosis. Other possible causes of ankylosis, including infection, inflammatory and metabolic conditions, were excluded.
MINOR MESH HEADINGS: Ankle-Injuries-radiography; Foot-Deformities,-Acquired-radiography; Metatarsus-radiography; Middle-Age; Osteoporosis-etiology
MAJOR MeSH HEADINGS: *Ankle-Injuries-complications; *Foot-Deformities,-Acquired-etiology; *Metatarsus-pathology; *Reflex-Sympathetic-Dystrophy-complications
CHECKTAGS: Case-Report; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW,-TUTORIAL
MEDLINE ACCESSION NUMBER: 1996428791
UPDATE CODE: 199702
Record 32 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: [Reflex sympathetic dystrophy syndrome associated with phenobarbital (letter)]
ORIGINAL TITLE: Sindrome de distrofia simpatico refleja asociado a fenobarbital.
AUTHOR(S): Gabriel-Botella-F; Labios-Gomez-M; Galindo-Puerto-MJ; Chapa-Villalba-MA; Gomez-Aldaravi-Gutierrez-R
ADDRESS OF AUTHOR: Servicio de Medicina Interna, Hospital Clinico Universitario, Valencia.
SOURCE (BIBLIOGRAPHIC CITATION): An-Med-Interna. 1996 Jul; 13(7): 336-8
INTERNATIONAL STANDARD SERIAL NUMBER: 0212-7199
PUBLICATION YEAR: 1996
LANGUAGE OF ARTICLE: SPANISH; NON-ENGLISH
COUNTRY OF PUBLICATION: SPAIN
ABSTRACT: Reflex sympathetic dystrophy syndrome (RSDS) is clinically characterized by pain and edema of one or more extremities, trophic skin changes and vasomotor instability. Although the pathogenesis is unknown, it could be caused by an abnormal reflex of the sympathetic nervous system. Different studies haven't yet confirmed the classical division in three clinical phases (warm, of vasomotor instability and cold). Barbiturates are the precipitating event in 10-30% of cases. We describe the clinical features of a patient with RSDS associated with phenobarbital who needed corticosteroid treatment. The Technetium diphosphate bone scan (Tc 99m DPD) is very useful because there is an increased radionuclide uptake in the involved areas during the early phases of the disease and precedes in some weeks the radiologic signs. The Magnetic Resonance Imaging (MRI) may be useful because of the early signs it shows. The patient may develop contractures and atrophy of the involved extremities in spite of the indispensable withdrawal of the drug.
MINOR MESH HEADINGS: Aged-; Anticonvulsants-therapeutic-use; Bone-Resorption-etiology; Bone-Resorption-radionuclide-imaging; Brain-Injuries-complications; Diphosphonates-diagnostic-use; English-Abstract; Epilepsy,-Generalized-drug-therapy; Epilepsy,-Generalized-etiology; Magnetic-Resonance-Imaging; Phenobarbital-therapeutic-use; Reflex-Sympathetic-Dystrophy-complications; Technetium-Compounds-diagnostic-use
MAJOR MeSH HEADINGS: *Anticonvulsants-adverse-effects; *Phenobarbital-adverse-effects; *Reflex-Sympathetic-Dystrophy-chemically-induced
CHECKTAGS: Case-Report; English-Abstract; Human; Male
PUBLICATION TYPE: LETTER
CAS REGISTRY NUMBER OR EC NUMBER: 0; 0; 0; 50-06-6; 52997-55-4
NAME OF SUBSTANCE: Anticonvulsants; Diphosphonates; Technetium-Compounds; Phenobarbital; technetium-Tc-99m-diphosphonate
MEDLINE ACCESSION NUMBER: 1996399324
UPDATE CODE: 199702
Record 33 of 65 in MEDLINE EXPRESS (R) 1996-1998
TITLE: Reflex sympathetic dystrophy syndrome: diagnosis and treatment.
AUTHOR(S): Borg-AA
ADDRESS OF AUTHOR: Nevill Hall Hospital, Abergavenny, Gwent, UK.
SOURCE (BIBLIOGRAPHIC CITATION): Disabil-Rehabil. 1996 Apr; 18(4): 174-80
INTERNATIONAL STANDARD SERIAL NUMBER: 0963-8288
PUBLICATION YEAR: 1996
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: ENGLAND
ABSTRACT: The reflex sympathetic dystrophy syndrome is a very common, poorly recognized syndrome which is associated with marked disability in some cases. The historical aspects, current ideas about the pathogenesis and pathophysiology, clinical features and staging are discussed. Early recognition and appropriate intervention are the cornerstone of successful treatment and are also discussed.
MINOR MESH HEADINGS: Clinical-Trials; Diagnosis,-Differential; Prognosis-; Reflex-Sympathetic-Dystrophy-diagnosis; Reflex-Sympathetic-Dystrophy-physiopathology; Reflex-Sympathetic-Dystrophy-therapy
MAJOR MeSH HEADINGS: *Reflex-Sympathetic-Dystrophy
CHECKTAGS: Human
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW,-TUTORIAL
MEDLINE ACCESSION NUMBER: 1996301373
UPDATE CODE: 199701
Record 34 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: No evidence of lumbar osteopenia in young adults with recent onset of reflex sympathetic dystrophy syndrome of the limbs. A single-energy computed tomography study (preliminary results) [letter]
AUTHOR(S): Eulry-F; Le-Dantec-L; Pharaboz-C; Crozes-P; Dellestable-F; Lechevalier-D; Magnin-J
SOURCE (BIBLIOGRAPHIC CITATION): Rev-Rhum-Engl-Ed. 1995 Jul-Sep; 62(7-8): 533-4
INTERNATIONAL STANDARD SERIAL NUMBER: 1169-8446
PUBLICATION YEAR: 1995
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: FRANCE
MINOR MESH HEADINGS: Adolescence-; Adult-; Bone-Diseases,-Metabolic-radiography; Lumbar-Vertebrae-radiography; Reflex-Sympathetic-Dystrophy-radiography; Tomography,-X-Ray-Computed
MAJOR MeSH HEADINGS: *Bone-Diseases,-Metabolic-etiology; *Lumbar-Vertebrae; *Reflex-Sympathetic-Dystrophy-complications
CHECKTAGS: Female; Human; Male
PUBLICATION TYPE: LETTER
MEDLINE ACCESSION NUMBER: 1996117830
UPDATE CODE: 199605
Record 35 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: The reflex sympathetic dystrophy syndrome in patients who have had a spinal cord injury.
AUTHOR(S): Gallien-P; Nicolas-B; Robineau-S; Lebot-MP; Brissot-R
ADDRESS OF AUTHOR: Department of Physical Medicine and Rehabilitation, Centre Hospitalier et Universitaire de Rennes, France.
SOURCE (BIBLIOGRAPHIC CITATION): Paraplegia. 1995 Dec; 33(12): 715-20
INTERNATIONAL STANDARD SERIAL NUMBER: 0031-1758
PUBLICATION YEAR: 1995
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: ENGLAND
ABSTRACT: Patients suffering from a spinal cord injury often present with a pain syndrome. Although the reflex sympathetic syndrome is a common diagnosis in some forms of neurological disease such as patients with a stroke, it is less frequent in those with a spinal lesion. The authors report eight patients with reflex sympathetic dystrophy who had a spinal cord injury. The diagnosis and treatment are discussed along with a review of literature.
MINOR MESH HEADINGS: Adult-; Analgesics,-Non-Narcotic-therapeutic-use; Antidepressive-Agents,-Tricyclic-therapeutic-use; Arthrography-; Calcitonin-therapeutic-use; Carbamazepine-therapeutic-use; Clomipramine-therapeutic-use; Middle-Age; Pain-Measurement; Reflex-Sympathetic-Dystrophy-drug-therapy; Reflex-Sympathetic-Dystrophy-radiography; Risk-Factors; Treatment-Outcome
MAJOR MeSH HEADINGS: *Reflex-Sympathetic-Dystrophy-etiology; *Spinal-Cord-Injuries-complications
CHECKTAGS: Human
PUBLICATION TYPE: JOURNAL-ARTICLE
CAS REGISTRY NUMBER OR EC NUMBER: 0; 0; 298-46-4; 303-49-1; 9007-12-9
NAME OF SUBSTANCE: Analgesics,-Non-Narcotic; Antidepressive-Agents,-Tricyclic; Carbamazepine; Clomipramine; Calcitonin
MEDLINE ACCESSION NUMBER: 1996274322
UPDATE CODE: 199701
Record 36 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: The reflex sympathetic dystrophy syndrome: a review with special reference to chronic pain and motor impairments.
AUTHOR(S): Ribbers-G; Geurts-AC; Mulder-T
ADDRESS OF AUTHOR: Rehabilitation Centre Rijndam, Rotterdam, The Netherlands.
SOURCE (BIBLIOGRAPHIC CITATION): Int-J-Rehabil-Res. 1995 Dec; 18(4): 277-95
INTERNATIONAL STANDARD SERIAL NUMBER: 0342-5282
PUBLICATION YEAR: 1995
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: ENGLAND
MINOR MESH HEADINGS: Chronic-Disease; Motor-Activity-physiology; Reflex-Sympathetic-Dystrophy-complications; Reflex-Sympathetic-Dystrophy-diagnosis
MAJOR MeSH HEADINGS: *Movement-Disorders-etiology; *Pain-etiology; *Reflex-Sympathetic-Dystrophy-physiopathology
CHECKTAGS: Human
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW-LITERATURE
MEDLINE ACCESSION NUMBER: 1996342311
UPDATE CODE: 199701
Record 37 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: Hyperbaric oxygen and the reflex sympathetic dystrophy syndrome: a case report.
AUTHOR(S): Peach-G
ADDRESS OF AUTHOR: Hyperbaric Medicine Department, University of Baltimore Medical Center, Maryland, USA.
SOURCE (BIBLIOGRAPHIC CITATION): Undersea-Hyperb-Med. 1995 Dec; 22(4): 407-8
INTERNATIONAL STANDARD SERIAL NUMBER: 1066-2936
PUBLICATION YEAR: 1995
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: A patient suffering from acute smoke inhalation also had a long medical history that included reflex sympathetic dystrophy syndrome of the left foot and ankle. The entire foot and ankle were tender and cool to palpation; range of motion was severely reduced. She was referred for hyperbaric oxygen therapy, and 15 min into the the first treatment (46 min at 60 fsw) she reported a lessening of the pain in her foot; moreover, the foot was less cyanotic and warmer to the touch. Subsequent treatments continued to improve her conditions and for longer periods of time.
MINOR MESH HEADINGS: Adult-; Recurrence-; Time-Factors
MAJOR MeSH HEADINGS: *Carbon-Monoxide-Poisoning-therapy; *Hyperbaric-Oxygenation; *Reflex-Sympathetic-Dystrophy-therapy
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 1996158036
UPDATE CODE: 199605
Record 38 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: Skin lesions occurring in clients with reflex sympathetic dystrophy syndrome [letter; comment]
COMMENTS: Comment on: J Neurosci Nurs 1994 Dec;26(6):342-6
AUTHOR(S): Hendler-N
SOURCE (BIBLIOGRAPHIC CITATION): J-Neurosci-Nurs. 1995 Aug; 27(4): 206
INTERNATIONAL STANDARD SERIAL NUMBER: 0888-0395
PUBLICATION YEAR: 1995
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
MINOR MESH HEADINGS: Adult-; Diagnosis,-Differential; Factitious-Disorders-nursing; Patient-Care-Team; Reflex-Sympathetic-Dystrophy-nursing; Skin-Diseases-nursing
MAJOR MeSH HEADINGS: *Factitious-Disorders-diagnosis; *Reflex-Sympathetic-Dystrophy-diagnosis; *Skin-Diseases-diagnosis
CHECKTAGS: Female; Human
PUBLICATION TYPE: COMMENT; LETTER
MEDLINE ACCESSION NUMBER: 1996052867
UPDATE CODE: 199603
SUBSET: NURSING
Record 39 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: Prediction of reflex sympathetic dystrophy in hemiplegic patients by electromyographic study.
AUTHOR(S): Cheng-PT; Hong-CZ
ADDRESS OF AUTHOR: Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Chang Gung College of Medicine and Technology, Taiwan.
SOURCE (BIBLIOGRAPHIC CITATION): Stroke. 1995 Dec; 26(12): 2277-80
INTERNATIONAL STANDARD SERIAL NUMBER: 0039-2499
PUBLICATION YEAR: 1995
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: BACKGROUND AND PURPOSE: This study was designed to investigate the correlation between reflex sympathetic dystrophy syndrome (RSDS) in hemiplegic patients and spontaneous electromyographic (EMG) activity, as well as to determine the predictive value of spontaneous EMG activity in early diagnosis of RSDS. METHODS: An EMG and nerve conduction velocity study of the weak upper limb was conducted on 70 hemiplegic patients at 3 to 4 weeks after cerebrovascular disease (either cerebral hemorrhage or infarction). Clinical assessment for development of the RSDS was done during the following 6 months. The correlation of RSDS development with the presence of spontaneous EMG activity and certain clinical parameters (including sex, age, side affected, cause of stroke, sensory impairment, spasticity, and shoulder subluxation) was analyzed statistically. RESULTS: Of the 46 patients who exhibited spontaneous activity, 30 (65%) developed clinical RSDS in their hemiplegic upper extremity, whereas only 1 (4%) of the other 24 patients with no spontaneous EMG activity developed clinical RSDS within 6 months after the onset of hemiplegia (P < .001). The correlation of RSDS development with the presence of shoulder subluxation and sensory impairment in the hemiplegic side was statistically significant. Neither age, sex, severity of spasticity, nor etiology of stroke had a significant correlation with the development of clinical RSDS. CONCLUSIONS: There is significant correlation between the presence of spontaneous EMG activity and the development of clinical RSDS in the hemiplegic upper extremity after stroke. It is concluded that spontaneous EMG activity in the hemiplegic hands of stroke patients might be a good predictor of the future development of clinical RSDS.
MINOR MESH HEADINGS: Adult-; Aged-; Aged,-80-and-over; Electromyography-; Hemiplegia-physiopathology; Middle-Age; Motor-Activity; Predictive-Value-of-Tests; Reflex-Sympathetic-Dystrophy-complications
MAJOR MeSH HEADINGS: *Hemiplegia-complications; *Reflex-Sympathetic-Dystrophy-diagnosis
CHECKTAGS: Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 1996086987
UPDATE CODE: 199603
Record 40 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: The clenched fist syndrome. A psychiatric syndrome mimicking reflex sympathetic dystrophy.
AUTHOR(S): Swift-DW; Walker-SE
ADDRESS OF AUTHOR: Truman Memorial Veterans Hospital, Columbia, Missouri.
SOURCE (BIBLIOGRAPHIC CITATION): Arthritis-Rheum. 1995 Jan; 38(1): 57-60
INTERNATIONAL STANDARD SERIAL NUMBER: 0004-3591
PUBLICATION YEAR: 1995
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: We describe a patient with swelling and pain in his right hand, which persisted for 1 year after minimal trauma. We think this represents a case of "clenched fist syndrome," a conversion disorder with unique somatic features that is easily mistaken for reflex sympathetic dystrophy syndrome. Included is a comparison of other psychological illnesses in which unusual physical findings involve the hand.
MINOR MESH HEADINGS: Diagnosis,-Differential; Factitious-Disorders-diagnosis; Middle-Age
MAJOR MeSH HEADINGS: *Hand-Injuries-diagnosis; *Hand-Injuries-psychology; *Reflex-Sympathetic-Dystrophy-diagnosis
CHECKTAGS: Case-Report; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 1995118399
UPDATE CODE: 199504
SUBSET: AIM
Record 41 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: Reflex sympathetic dystrophy syndrome secondary to organophosphate intoxication induced neuropathy.
AUTHOR(S): Sahin-M; Bernay-I; Canturk-F; Demircali-AE
ADDRESS OF AUTHOR: Department of Nuclear Medicine, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.
SOURCE (BIBLIOGRAPHIC CITATION): Ann-Nucl-Med. 1994 Nov; 8(4): 299-300
INTERNATIONAL STANDARD SERIAL NUMBER: 0914-7187
PUBLICATION YEAR: 1994
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: JAPAN
ABSTRACT: Reflex sympathetic dystrophy or Sudeck's atrophy is a syndrome that can usually be followed by a traumatic insult. This disorder is accompanied by signs and symptoms of vasomotor instability, trophic skin changes, and rapid development of bony demineralization. This report presents a case with reflex sympathetic dystrophy syndrome secondary to organophosphate intoxication induced neuropathy. The patient was threated with calcitonin well.
MINOR MESH HEADINGS: Action-Potentials; Adult-; Atropine-therapeutic-use; Bone-and-Bones-radiography; Bone-and-Bones-radionuclide-imaging; Calcitonin-therapeutic-use; Cholinesterase-Reactivators-therapeutic-use; Electromyography-; Follow-Up-Studies; Median-Nerve-physiopathology; Motor-Neurons-physiology; Muscle,-Skeletal-physiopathology; Nervous-System-Diseases-drug-therapy; Nervous-System-Diseases-physiopathology; Pralidoxime-Compounds-therapeutic-use; Reflex-Sympathetic-Dystrophy-drug-therapy; Ulnar-Nerve-physiopathology
MAJOR MeSH HEADINGS: *Dimethoate-toxicity; *Nervous-System-Diseases-chemically-induced; *Reflex-Sympathetic-Dystrophy-etiology
CHECKTAGS: Case-Report; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
CAS REGISTRY NUMBER OR EC NUMBER: 0; 0; 51-55-8; 60-51-5; 6735-59-7; 9007-12-9
NAME OF SUBSTANCE: Cholinesterase-Reactivators; Pralidoxime-Compounds; Atropine; Dimethoate; pralidoxime; Calcitonin
MEDLINE ACCESSION NUMBER: 1995217618
UPDATE CODE: 199507
Record 42 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: [Sudeck's atrophy. 3 clinical cases]
ORIGINAL TITLE: L'atrofia di Sudeck. Su tre casi clinici.
AUTHOR(S): Cordioli-E; Tondini-C; Pizzi-C; Premuda-G
ADDRESS OF AUTHOR: Policlinico S. Orsola, Universita degli Studi di Bologna.
SOURCE (BIBLIOGRAPHIC CITATION): Minerva-Med. 1994 May; 85(5): 265-70
INTERNATIONAL STANDARD SERIAL NUMBER: 0026-4806
PUBLICATION YEAR: 1994
LANGUAGE OF ARTICLE: ITALIAN; NON-ENGLISH
COUNTRY OF PUBLICATION: ITALY
ABSTRACT: Three patients fulfilling criteria for Sudeck's atrophy (reflex sympathetic dystrophy syndrome--RSDS) are described and etiological, pathogenetic and clinical features of the disease are reviewed. RSDS is associated with a wide variety of precipitating factors, each of whom, often in concomitance with metabolic diseases and psychiatric disturbances, may cause the same clinical syndrome, which continues in a "vicious circle" of feed-back mechanisms, correlated with sympathetic hyperactivity. The symptoms may begin gradually and the disorder progresses in stages lasting from weeks to months. The management has not yet been established. Generally, the earlier the syndrome is recognized, the better the results of treatment will be. Analgesics, salmon calcitonin and physiokinesitherapy are recommended. Psychological support is advisable. In more severe patients sympathetic blockade and surgical sympathectomy may be necessary. The effects of hyperbaric oxygen treatment must still be assessed.
MINOR MESH HEADINGS: Adult-; Chronic-Disease; Combined-Modality-Therapy; English-Abstract; Middle-Age; Reflex-Sympathetic-Dystrophy-etiology; Reflex-Sympathetic-Dystrophy-therapy; Syndrome-
MAJOR MeSH HEADINGS: *Reflex-Sympathetic-Dystrophy-diagnosis
CHECKTAGS: Case-Report; English-Abstract; Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW-OF-REPORTED-CASES
MEDLINE ACCESSION NUMBER: 1994301503
UPDATE CODE: 199410
Record 43 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: Skin lesions occurring in clients with reflex sympathetic dystrophy syndrome [see comments]
COMMENTS: Comment in: J Neurosci Nurs 1995 Aug;27(4):206
AUTHOR(S): Greipp-ME; Thomas-AF
ADDRESS OF AUTHOR: Department of Nursing, Rutgers State University of New Jersey, Camden College of Arts and Sciences.
SOURCE (BIBLIOGRAPHIC CITATION): J-Neurosci-Nurs. 1994 Dec; 26(6): 342-6
INTERNATIONAL STANDARD SERIAL NUMBER: 0888-0395
PUBLICATION YEAR: 1994
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: A study was conducted of 198 clients with reflex sympathetic dystrophy syndrome (RSDS) to gather demographic and descriptive data related to the occurrence of skin lesions. Participants ranged in age from 18-78 years, were predominantly women and represented all three stages of RSDS. Findings indicated that clients with RSDS develop distinctive skin lesions in addition to the cutaneous changes described in the literature. Skin lesions occur in the first and second stages of the syndrome. Skin lesions reportedly worsened in 135 clients (68%) when their pain became more severe, and correspondingly, seemed to improve as the pain decreased.
MINOR MESH HEADINGS: Adolescence-; Adult-; Aged-; Diagnosis,-Differential; Middle-Age; Nursing-Assessment; Nursing-Diagnosis; Patient-Care-Team; Reflex-Sympathetic-Dystrophy-nursing; Skin-Diseases-nursing
MAJOR MeSH HEADINGS: *Reflex-Sympathetic-Dystrophy-diagnosis; *Skin-Diseases-diagnosis
CHECKTAGS: Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 1995222018
UPDATE CODE: 199507
SUBSET: NURSING
Record 44 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: [The reflex sympathetic dystrophy syndrome]
ORIGINAL TITLE: Sindrom reflektornoi simpaticheskoi distrofii.
AUTHOR(S): Novikov-AV; Iakhno-NN
SOURCE (BIBLIOGRAPHIC CITATION): Zh-Nevropatol-Psikhiatr-Im-S-S-Korsakova. 1994; 94(5): 103-7
INTERNATIONAL STANDARD SERIAL NUMBER: 0044-4588
PUBLICATION YEAR: 1994
LANGUAGE OF ARTICLE: RUSSIAN; NON-ENGLISH
COUNTRY OF PUBLICATION: RUSSIA
MINOR MESH HEADINGS: Reflex-Sympathetic-Dystrophy-diagnosis; Reflex-Sympathetic-Dystrophy-etiology; Reflex-Sympathetic-Dystrophy-therapy
MAJOR MeSH HEADINGS: *Reflex-Sympathetic-Dystrophy
CHECKTAGS: Human
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW,-TUTORIAL
MEDLINE ACCESSION NUMBER: 1995208371
UPDATE CODE: 199506
Record 45 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: Reflex sympathetic dystrophy: result of autonomic denervation?
AUTHOR(S): Kurvers-HA; Jacobs-MJ; Beuk-RJ; van-den-Wildenberg-FA; Kitslaar-PJ; Slaaf-DW; Reneman-RS
ADDRESS OF AUTHOR: Department of Surgery, Academic Hospital, Maastricht, The Netherlands.
SOURCE (BIBLIOGRAPHIC CITATION): Clin-Sci-Colch. 1994 Dec; 87(6): 663-9
INTERNATIONAL STANDARD SERIAL NUMBER: 0143-5221
PUBLICATION YEAR: 1994
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: ENGLAND
ABSTRACT: 1. To investigate the nature of sympathetic dysfunction in the pathogenesis of reflex sympathetic dystrophy, the microcirculatory vasoconstrictive responses to dependency were investigated in the skin of the hand of 76 reflex sympathetic dystrophy patients with unilateral disease by means of laser Doppler flowmetry (in perfusion units) and capillary microscopy. The patients were divided into three stages according to their perception of skin temperature (stage I in the case of a stationary warmth sensation, stage II in the case of an intermittent warmth and cold sensation, and stage III in the case of a stationary cold sensation). The vasoconstrictive responses were induced by lowering of the affected hand. 2. As compared to controls, the mainly sympathetically mediated vasoconstrictive response at thermoregulatory level of the skin microcirculation, as measured by laser Doppler flowmetry, was attenuated at stage I (1.82 versus 1.41, P < 0.05), stage II (1.82 versus 1.09, P < 0.0001) and stage III (1.82 versus 1.14, P < 0.01), suggesting the involvement of sympathetic denervation at all stages of the reflex sympathetic dystrophy syndrome. This sympathetic denervation may also account for the observed increase in thermoregulatory skin blood flow at stage I as compared to controls (152 versus 81, P < 0.01). 3. Since sympathetic denervation has been reported to cause increased sensitivity of vascular structures to catecholamines, the decrease in thermoregulatory skin blood flow at stages II (54 versus 81, P < 0.05) and III (31 versus 81, P < 0.05), both as compared to controls, may result from hypersensitivity to catecholamines of skin microvessels. 4. The sympathetically independent vasoconstrictive response at the nutritive level of skin microcirculation, as measured by capillary microscopy, was impaired only at stage III as compared to controls (1.04 versus 2.06, P < 0.05). This divergence in microvascular reactivity upon dependency of the nutritive and thermoregulatory subsystems also supports the hypothesis of sympathetic dysfunction.(ABSTRACT TRUNCATED AT 250 WORDS)
MINOR MESH HEADINGS: Adolescence-; Adult-; Aged-; Aged,-80-and-over; Microcirculation-physiopathology; Middle-Age; Posture-; Rheology-; Skin-blood-supply; Skin-innervation; Sympathetic-Nervous-System-surgery; Temperature-; Vasoconstriction-physiology
MAJOR MeSH HEADINGS: *Autonomic-Denervation; *Catecholamines-metabolism; *Reflex-Sympathetic-Dystrophy-etiology; *Sympathetic-Nervous-System-physiopathology
CHECKTAGS: Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
CAS REGISTRY NUMBER OR EC NUMBER: 0
NAME OF SUBSTANCE: Catecholamines
MEDLINE ACCESSION NUMBER: 1995179929
UPDATE CODE: 199506
Record 46 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: The interpretation of pain relief and sensory changes following sympathetic blockade.
AUTHOR(S): Dellemijn-PL; Fields-HL; Allen-RR; McKay-WR; Rowbotham-MC
ADDRESS OF AUTHOR: Dr Daniel den Hoed Cancer Center, Rotterdam, The Netherlands.
SOURCE (BIBLIOGRAPHIC CITATION): Brain. 1994 Dec; 117 ( Pt 6): 1475-87
INTERNATIONAL STANDARD SERIAL NUMBER: 0006-8950
PUBLICATION YEAR: 1994
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: ENGLAND
ABSTRACT: A comparative study of the effects of sympathetic blockade by stellate ganglion block (SGB) and intravenous phentolamine infusion (PhI) was carried out in 24 patients with presumed sympathetically maintained pain of an upper extremity. A total of 15 SGBs and 16 PhIs were performed, with seven patients undergoing both procedures. All patients developed a Horner's syndrome with SGB and nasal stuffiness and cardiovascular changes with PhI. Similar pain relief was obtained with SGB and PhI in six of the seven who underwent both procedures. Pre-procedure patient characteristics including age, sex, duration of pain, historical and physical examination features suggestive of the reflex sympathetic dystrophy syndrome, and sensory disturbances such as allodynia and hyperpathia did not predict pain relief from either procedure. Changes in skin temperature following the sympatholytic procedure did not correlate with pain relief. For PhI, pain relief correlated with the magnitude of decrease in systolic blood pressure. After SGB, changes in quantitative thermal sensory testing (QST) suggestive of a partial deficit in thermal sensation correlated with pain relief. In 20 normal controls, water bath immersion to cool the hand passively by 7 degrees C and warm the hand passively by 4 degrees C had small and selective effects on thermal QST thresholds, but did not produce a general impairment in thermal sensation. In conclusion, the diagnosis of sympathetically maintained pain based on the history and physical examination alone cannot be made with confidence and therefore a sympatholytic procedure is necessary. When SGB produces pain relief but PhI does not, systemic absorption of local anaesthetic and/or sensory blockade by spread to somatic nerves may be the reason. Thus, PhI appears to be a less sensitive but more specific test than SGB. These two procedures provide complementary information and both may be needed to establish the diagnosis of sympathetically maintained pain.
MINOR MESH HEADINGS: Adult-; Aged-; Body-Temperature; Middle-Age; Nerve-Block-adverse-effects; Pain-therapy; Phentolamine-adverse-effects; Phentolamine-therapeutic-use; Sensation-; Skin-physiopathology
MAJOR MeSH HEADINGS: *Autonomic-Nervous-System-Diseases-complications; *Nerve-Block; *Pain-etiology; *Sympathetic-Nervous-System-physiopathology
CHECKTAGS: Comparative-Study; Female; Human; Male; Support,-Non-U.S.-Gov't; Support,-U.S.-Gov't,-P.H.S.
PUBLICATION TYPE: JOURNAL-ARTICLE
CONTRACT OR GRANT NUMBERS: NS07265NSNINDS
CAS REGISTRY NUMBER OR EC NUMBER: 50-60-2
NAME OF SUBSTANCE: Phentolamine
MEDLINE ACCESSION NUMBER: 1995120504
UPDATE CODE: 199504
SUBSET: AIM
Record 47 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: Reflex sympathetic dystrophy syndrome: a longitudinal study.
AUTHOR(S): Greipp-ME; Thomas-AF
SOURCE (BIBLIOGRAPHIC CITATION): Medsurg-Nurs. 1994 Oct; 3(5): 378-81, 384
PUBLICATION YEAR: 1994
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: Reflex sympathetic dystrophy syndrome is a multi-symptom, multi-system syndrome which affects all age groups with the common, overriding complaint of severe, unrelenting, burning pain. Affecting millions worldwide, the illness trajectory is poorly understood. A large longitudinal patient study has yielded important preliminary findings, which have implications for nurses caring for a variety of patients in pain.
MINOR MESH HEADINGS: Adult-; Longitudinal-Studies; Prognosis-; Reflex-Sympathetic-Dystrophy-nursing
MAJOR MeSH HEADINGS: *Reflex-Sympathetic-Dystrophy-epidemiology; *Reflex-Sympathetic-Dystrophy-physiopathology
CHECKTAGS: Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 1995111501
UPDATE CODE: 199504
SUBSET: NURSING
Record 48 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: Non-union of pediatric fibula fractures: easy to overlook, painful to ignore.
AUTHOR(S): Haramati-N; Roye-DP; Adler-PA; Ruzal-Shapiro-C
ADDRESS OF AUTHOR: Department of Radiology, Albert Einstein College of Medicine, Bronx, NY 10467.
SOURCE (BIBLIOGRAPHIC CITATION): Pediatr-Radiol. 1994; 24(4): 248-50
INTERNATIONAL STANDARD SERIAL NUMBER: 0301-0449
PUBLICATION YEAR: 1994
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: GERMANY
ABSTRACT: Fracture non-union in the pediatric population may span the age range from childhood to adolescence. Fracture non-union in children and adolescents is often due to an underlying cause such as affliction with neurofibromatosis or osteogenesis imperfecta. Although less commonly seen, non-union may occur in the otherwise healthy pediatric population. We report three cases of fracture non-union of the distal end of the fibula in the pediatric age group. All three were characterized by persistent local pain and tenderness following injury with radiographic evidence of fracture non-union. All three had undergone conservative treatment with extended periods of immobilization. Following surgery, all three had marked improvement of their local symptomatology. One patient's course was complicated by reflex sympathetic dystrophy syndrome. In two patients, resection of the un-united fragment at the distal fibula resulted in marked relief from pain without any increase in ankle instability. We postulate that the fracture non-union resulted in a fibrotic reaction that was so extensive that ankle stability was maintained even after removal of the fracture fragment.
MINOR MESH HEADINGS: Adolescence-; Child-; Fibula-radiography; Fractures,-Ununited-therapy; Immobilization-; Tomography,-X-Ray-Computed
MAJOR MeSH HEADINGS: *Fibula-injuries; *Fractures,-Ununited-radiography
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 1995098566
UPDATE CODE: 199503
Record 49 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: [Scaphoid fissure in algodystrophy: diagnostic value of MRI]
ORIGINAL TITLE: Fissure osseuse du scaphoide tarsien au cours d'une algodystrophie: interet diagnostique de l'IRM.
AUTHOR(S): Sibilia-J; Javier-RM; Durckel-J; Krause-D; Kuntz-JL
ADDRESS OF AUTHOR: Service de Rhumatologie, CHU Hautepierre, Strasbourg.
SOURCE (BIBLIOGRAPHIC CITATION): Rev-Rhum-Ed-Fr. 1994 Jan; 61(1): 56-8
PUBLICATION YEAR: 1994
LANGUAGE OF ARTICLE: FRENCH; NON-ENGLISH
COUNTRY OF PUBLICATION: FRANCE
ABSTRACT: Stress fractures are exceptional in patients with reflex sympathetic dystrophy syndrome, even when bone loss is severe. We report a case of stress fracture of the navicular bone documented by magnetic resonance imaging. Recurrence of localized pain in patients with reflex sympathetic dystrophy syndrome suggests either a relapse of the syndrome or a bony fissure. Magnetic resonance imaging can provide early differentiation of these two conditions.
MINOR MESH HEADINGS: English-Abstract; Fractures,-Stress-diagnosis; Middle-Age
MAJOR MeSH HEADINGS: *Fractures,-Stress-etiology; *Magnetic-Resonance-Imaging; *Reflex-Sympathetic-Dystrophy-complications; *Tarsal-Bones-injuries
CHECKTAGS: Case-Report; English-Abstract; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 1995093451
UPDATE CODE: 199503
Record 50 of 65 in MEDLINE EXPRESS (R) 1993-1995
TITLE: Abnormal thermoregulatory responses in patients with reflex sympathetic dystrophy syndrome.
AUTHOR(S): Herrick-A; el-Hadidy-K; Marsh-D; Jayson-M
ADDRESS OF AUTHOR: University of Manchester Rheumatic Diseases Centre, Department of Orthopaedic Surgery, Hope Hospital, Salford, UK.
SOURCE (BIBLIOGRAPHIC CITATION): J-Rheumatol. 1994 Jul; 21(7): 1319-24
INTERNATIONAL STANDARD SERIAL NUMBER: 0315-162X
PUBLICATION YEAR: 1994
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: CANADA
ABSTRACT: OBJECTIVE. To look for asymptomatic thermoregulatory abnormalities in the noninvolved limbs in patients with well established reflex sympathetic dystrophy syndrome (RSDS). The study was prompted by the observation of development of severe upper limb Raynaud's phenomenon in a young woman with a history of RSDS affecting both lower limbs. METHODS. Eleven patients and 11 age and sex matched control subjects underwent a standard thermal stress test: cold water immersion of a hand unaffected by RSDS in water at 15 degrees C for one min. All controls had had injuries uncomplicated by RSDS. RESULTS. Lag time (the lag phase between the end of the cold challenge and the onset of rewarming) was significantly increased (p < 0.01) in the patient group (median 5.67 min, range 0.50 to > 15) compared to the control group (median 0.50 min, range 0.50 to 12.92). The median maximum temperature recovery was lower in the patient group (81.6%, range 0 to 170.4) than in the control group (119.3%, range 49.1 to 153.1). CONCLUSION. Our findings support an association between RSDS and a generalized abnormal response to cold challenge. Further studies are required to examine the temporal relationship underlying this. Early screening for thermoregulatory dysfunction of patients after fractures might allow identification of patients at risk of developing RSDS.
MINOR MESH HEADINGS: Adolescence-; Adult-; Aged-; Cold-; Immersion-; Middle-Age; Raynaud's-Disease-etiology; Reference-Values; Reflex-Sympathetic-Dystrophy-complications; Thermography-; Time-Factors
MAJOR MeSH HEADINGS: *Body-Temperature-Regulation; *Reflex-Sympathetic-Dystrophy-physiopathology
CHECKTAGS: Case-Report; Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 1995055474
UPDATE CODE: 199502