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49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting

March 21-23, 2024 | The Hilton Bayfront San Diego | San Diego, California

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5368

ACUTE ON CHRONIC COMPLEX REGIONAL PAIN SYNDROME AFTER CONTRALATERAL SURGERY IN A PATIENT WITH A SPINAL CORD STIMULATOR

Poster Presenter

Aisha Bhatti

Part of Topic

Medically Challenging Cases

Acute on Chronic Complex Regional Pain Syndrome After Contralateral Surgery in a Patient with a Spinal Cord Stimulator

Aisha Bhatti, MD; Kevin Shi, MD; Matthew Moynihan, DO; University of Illinois at Chicago, Department of Anesthesiology

Background

Chronic regional pain syndrome (CRPS) is a chronic pain affecting patients after injury or surgical intervention. The condition characterized by allodynia, hyperalgesia, fluctuations in skin temperature, swelling, and sudomotor/vasomotor dysregulation

• Type1(reflexsympatheticdystrophy)Type2(causalgia) CRPS diagnosis requires:

• Continuingpaindisproportionatetoincitingevent • Nootherdiagnosisexplainsclinicalpresentation

CRPS is peripherally and centrally mediated
• Variablepresentation,sxevolve/changeovertime
• Idealtreatmentisearly,aggressive,andmultimodal

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