causalgia


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Related to causalgia: causalgia neuralgia

causalgia

 [kaw-zal´jah]
a burning pain often associated with trophic skin changes in the hand or foot, caused by peripheral nerve injury. It may be aggravated by the slightest stimuli or it may be intensified by the emotions. It usually begins several weeks after the initial injury and the pain is described as intense, with patients sometimes taking elaborate precautions to avoid any stimulus that they know could cause a flare-up of symptoms. They often will go to great extremes to protect the affected limb and become preoccupied with such protection.

Any of a variety of injuries to the hand, foot, arm, or leg can lead to causalgia, but in most cases there has been some injury to the median nerve or sciatic nerve. Injections of a local anesthetic at the painful site may bring relief. Sympathectomy may be necessary to eliminate the severe pain, and in the majority of cases it is quite successful. Psychotherapy may be necessary when emotional instability is suspected. Emotional problems may result from the intense suffering characteristic of severe causalgia. Reflex sympathetic dystrophy (also called chronic regional pain syndrome) is a variant of causalgia.

complex regional pain syndrome type I

diffuse persistent pain usually in an extremity often associated with vasomotor disturbances, trophic changes, and limitation or immobility of joints; frequently follows some local injury.

reflex sympathetic dystrophy

Neurology
Persistent pain of an extremity after prolonged autonomic nervous system stimulation.
 
Clinical findings
Dysaesthesia, pain, swelling of an extremity with trophic skin changes, hypertrichosis, osteoporosis.
 
Aetiology
Acute MI, cervical osteoporosis, CVAs, nerve injury, neurologic events, surgery, trauma.

Management
Sympathetic block with local anaesthetics.
 
Sports medicine
An exaggerated response of the sympathetic nervous system to minor trauma, especially if superimposed on healing injuries.
 
Clinical findings
Severe, recurrent, chronic pain, affecting an entire extremity; swelling, stiffness and discolouration.

Pathogenesis
Uncertain, possibly mental stress.
 
Prognosis
Inactivity and inadequate therapy result in muscle atrophy, demineralisation and contractures.

causalgia

Caulsalgia syndrome Pain medicine A sensation of persistent severe burning pain of either organic–direct or indirect trauma to a sensory nerve, accompanied by trophic changes–or psychologic origin. See Headache, Somatiform disorder.

cau·sal·gi·a

(kaw-zal'jē-ă)
Persistent severe burning sensation, usually following partial injury of a peripheral nerve, accompanied by trophic changes (thinning of skin, loss of sweat glands and hair follicles).
[G. kausis, burning, + algos, pain]

causalgia

Severe and persistent burning pain in a limb caused by partial damage to a nerve trunk, usually from physical injury. The injured nerve spontaneously generates impulses which are interpreted by the brain as pain.

Causalgia

A severe burning sensation sometimes accompanied by redness and inflammation of the skin. Causalgia is caused by injury to a nerve outside the spinal cord.
Mentioned in: Sympathectomy
References in periodicals archive ?
Treatment of sciatic nerve causalgia following pelvic fracture.
Brookoff, "Complex regional pain syndromes (reflex sympathetic dystrophy and causalgia) and spinal cord stimulation," Pain Medicine, vol.
A Physiologic Interpretation of Causalgia and Its Related States.
Pain mechanisms in causalgia. J Neurol Neurosurg Psychiatry.
Most nurses are familiar with the causalgias that accompany hemiparesis after a stroke, the phantom pain that may follow an amputation, and the pain associated with long-term diabetic neuropathy.
La primera descripcion de causalgia se remonta a los tiempos de la Guerra Civil estadounidense, en la que sir Weir Mitchell, uno de los padres de la neurologia moderna, observo que los soldados heridos con lesiones mayores en los nervios de las extremidades experimentaban episodios prolongados de dolor quemante; Mitchell le asigno el nombre de causalgia, del griego kausos, que significa calor, y algos, dolor (1-3).
CRPS type II or causalgia involves injury to a peripheral nerve trunk.
Complex regional pain syndrome (type1, RSD; type 2, Causalgia) controversies.
El DNO, aunque se presenta por enfermedades diferentes al cancer (artritis, neuralgia, causalgia, fibromialgia, entre otras), con mucha frecuencia favorece la incertidumbre, se asocia con el sufrimiento, la limitacion fisica y la discapacidad.
Desde 1598 hay reportes en la literatura que describen formas clinicas similares, pero el primero en describir el termino causalgia en 1864 fue Silas Weir Mitchell, (1) durante la segunda guerra civil americana.
Type II represents causalgia, which involves cases in which a definite nerve lesion occurred.