Extrapyramidal signs occurring after sympathetic block for complex regional pain syndrome responding to diphenhydramine: Two case reports.

ABSTRACT:

Rationale

To present an unusual extrapyramidal motor response occurring after a sympathetic block in CRPS and its successful treatment with diphenhydramine.

Patient concerns

Severe pain related to Complex Regional Pain Syndrome type 1 interfering with activities of daily living.

Diagnoses

Complex Regional Pain Syndrome type 1.

Interventions

We report a video case reports of two patients with a diagnosis of CRPS type-I. Both patients exhibited similar presentation of unusual extrapyramidal motor response of the affected limb following lumbar sympathetic block. Both patients were treated with intravenous diphenhydramine to abort the extrapyramidal motor response.

Outcomes

Both patients similarly responded to treatment with intravenous diphenhydramine with

SUBMITTER: Gungor S 

PROVIDER: S-EPMC6039649 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature