Turkish Neurosurgery 2014 , Vol 24 , Num 1
A Curative Treatment Option for Complex Regional Pain Syndrome (CRPS) Type I: Dorsal Root Entry Zone Operation (Report of Two Cases)
Yucel KANPOLAT1, Eyyub S. M. AL-BEYATI2, Hasan Caglar UGUR1, Gokhan AKPINAR3, Gokmen KAHILOGULLARI1, Melih BOZKURT1
1Ankara University, Faculty of Medicine, Department of Neurosurgery, Ankara, Turkey
2Ankara University, Faculty of Medicine, Ankara, Turkey
3Bayındır Medical Center, Department of Neurosurgery, Ankara, Turkey
DOI : 10.5137/1019-5149.JTN.7997-13.0 Complex Regional Pain Syndrome Type I (CRPS-I) is a debated health problem concerning its pathophysiology and treatment strategies. A 12-year-old boy and a 35-year-old woman were diagnosed with CRPS-I at different times. They had previously undergone various types of interventions with no success. After one year of follow-up and observation, DREZ lesioning operation was performed. Afterwards, both cases had transient lower extremity ataxia. The first case was followed for 60 months with no recurrence and total cure. The second case was pain-free until the 6th month, when she required psychological support; she was followed for 33 months with partial satisfactory outcome. Although not a first-line option, DREZ lesioning procedure can be chosen and may be a curative option in selected cases of CRPS-I who are unresponsive to conventional therapies. Keywords : CRPS-I, DREZ, Pain, Reflex sympathetic dystrophy
Corresponding author : Yucel Kanpolat, kanpolat@ada.net.tr