Sciatic neuropathy after lower-extremity trauma - Successful treatment of an uncommon pain and disability syndrome in an adolescent

被引:6
作者
Saroyan, John M.
Winfree, Christopher J.
Schechter, William S.
Roye, David
Gold, Arnold P.
机构
[1] Columbia Univ, Dept Anesthesiol, Div Pain Management, Coll Phys & Surg, New York, NY 10032 USA
[2] Columbia Univ, Coll Phys & Surg, Dept Pediat, New York, NY 10032 USA
[3] Columbia Univ, Coll Phys & Surg, Dept Neurol Surg, New York, NY 10032 USA
[4] Columbia Univ, Coll Phys & Surg, Dept Orthopaed Surg, New York, NY 10032 USA
[5] Columbia Univ, Coll Phys & Surg, Dept Neurol, New York, NY 10032 USA
[6] Columbia Univ, Coll Phys & Surg, Dept Pediat, New York, NY 10032 USA
关键词
neuropathy; trauma; sciatic nerve; pain management; REFLEX SYMPATHETIC DYSTROPHY; NERVE LESIONS; GABAPENTIN; MANAGEMENT; CHILDREN; OUTCOMES; THERAPY;
D O I
10.1097/PHM.0b013e31806dbdd2
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Lower-extremity trauma is an uncommon but reported cause of sciatic nerve injury in children and adolescents. Failure to identify sciatic neuropathy after traumatic injury to the lower extremity may lead to the delayed institution of neuropathic pharmacotherapy, electrodiagnostic testing, physical therapy, and increased risk for the development of complex regional pain syndrome. This article presents a case of an adolescent male with neuropathic pain and weakness in the right lower extremity after traumatic injury. Spontaneous recovery of the injured nerve occurred with early institution of pharmacologic and physical therapies. Operative exploration and neurolysis were considered but were not ultimately necessary.
引用
收藏
页码:597 / 600
页数:4
相关论文
共 18 条
[1]   Gabapentin dosing for neuropathic pain: Evidence from randomized, placebo-controlled clinical trials [J].
Backonja, M ;
Glanzman, RL .
CLINICAL THERAPEUTICS, 2003, 25 (01) :81-104
[2]   Complex regional pain syndromes in children and adolescents [J].
Berde, CB ;
Lebel, A .
ANESTHESIOLOGY, 2005, 102 (02) :252-255
[3]  
BEREGESON PS, 1982, PEDIATRICS, V70, P944
[4]  
DEVRIES AP, 1991, PEDIATRICS, V104, P1293
[5]   The use of gabapentin in a 12-year-old boy with cancer pain [J].
Keskinbora, K ;
Pekel, AF ;
Aydinli, I .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2004, 48 (05) :663-664
[6]   Management and results of peroneal nerve lesions [J].
Kim, DH ;
Kline, DG .
NEUROSURGERY, 1996, 39 (02) :312-319
[7]   Surgical management and results of 135 tibial nerve lesions at the Louisiana State University Health Sciences Center [J].
Kim, DH ;
Cho, YJ ;
Ryu, S ;
Tie, RL ;
Kline, DG .
NEUROSURGERY, 2003, 53 (05) :1114-1124
[8]   Management and outcomes in 353 surgically treated sciatic nerve lesions [J].
Kim, DH ;
Murovic, JA ;
Tiel, R ;
Kline, DG .
JOURNAL OF NEUROSURGERY, 2004, 101 (01) :8-17
[9]   Physical therapy and cognitive-behavioral treatment for complex regional pain syndromes [J].
Lee, BH ;
Scharff, L ;
Sethna, NF ;
McCarthy, CF ;
Scott-Sutherland, J ;
Shea, AM ;
Sullivan, P ;
Meier, P ;
Zurakowski, D ;
Masek, BJ ;
Berde, CB .
JOURNAL OF PEDIATRICS, 2002, 141 (01) :135-140
[10]   Gabapentin for treatment of neuropathic pain in a 12-year-old girl [J].
McGraw, T ;
Stacey, BR .
CLINICAL JOURNAL OF PAIN, 1998, 14 (04) :354-356