Reflex sympathetic dystrophy of the lower extremity in tetraplegia: Case report

Todd P. Lefkoe, Diana D. Cardenas

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Reflex sympathetic dystrophy (RSD) of the upper extremities has been reported to occur following complete and incomplete injuries of the cervical cord. Such reports describe the value of the three-phase radionuclide bone scan (TPBS) in differentiating RSD from pain of other sources. To our knowledge, RSD of the lower extremities has not been reported in a patient with tetraplegia. We report a case of lower extremity RSD in a patient with a complete traumatic injury of the cervical cord. The case illustrates the use of the TPBS to differentiate RSD from heterotopic ossification (HO) in the lower extremities. The successful use of the alpha-adrenergic blocker, phenoxybenzamine, in the treatment of RSD is described. Follow-up to 30 months has shown no evidence of recurrence, and complete resolution of the scintigraphic findings.

Original languageEnglish (US)
Pages (from-to)239-242
Number of pages4
JournalSpinal Cord
Volume34
Issue number4
DOIs
StatePublished - Jan 1 1996

Keywords

  • lower extremities
  • pain syndromes
  • phenoxybenzamine
  • reflex sympathetic dystrophy
  • tetraplegia

ASJC Scopus subject areas

  • Clinical Neurology

Fingerprint Dive into the research topics of 'Reflex sympathetic dystrophy of the lower extremity in tetraplegia: Case report'. Together they form a unique fingerprint.

  • Cite this