Perineal Reflex Sympathetic Dystrophy Treated with Bilateral Lumbar Sympathectomy
Excerpt
Silas Weir Mitchell (1) first described the exquisitely painful disorder to which he later ascribed the name causalgia (2). Many other labels, including the reflex sympathetic dystrophy syndrome (3), have been used, each emphasizing a different feature of the disorder. A previous article on penile reflex sympathetic dystrophy (4) is supported by this case report. This disease should be diagnosed promptly to prevent unnecessary progression.
Case Report A 65-year-old, right-handed, white man had colonic adenocarcinoma metastatic to the pelvis treated by primary resection and radiation therapy with both chemotherapy and radiation therapy to metastatic implants. Six months before consultation, he
This 100-word excerpt has been provided in the absence of an abstract.
Acknowledgments
Acknowledgments: The author thanks Barbara Booth, RN, and Judith Olson, RN, for assistance in editing the manuscript and Kathleen Snell, CMA, for preparing the manuscript.
Article and Author Information
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From the Toledo Neurological Institute, Maumee, Ohio. For the current author address, see end of text.
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Requests for Reprints: Walter L. Olson, Jr., MD, Toledo Neurological Institute, 6005 Monclova Road, Maumee, OH 43537.
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Current Author Address: Dr. Olson: Toledo Neurological Institute, 6005 Monclova Road, Maumee, OH 43537.
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