Complex Regional Pain Syndrome Type I Induced by Pacemaker Implantation, with a Good Response to Steroids and Neurotropin

Makoto OKADA; Kimihiro SUZUKI; Toshihiko HIDAKA; Tadashi SHINOHARA; Koji KATAHARADA; Kunio TAKADA; Hisahide TANAKA; Fumitaka OHSUZU

doi:10.2169/internalmedicine.41.498

Makoto OKADA, Kimihiro SUZUKI, Toshihiko HIDAKA, Tadashi SHINOHARA, Koji KATAHARADA, Kunio TAKADA, Hisahide TANAKA, Fumitaka OHSUZU

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Keywords: reflex sympathetic dystrophy (RSD), X-ray examination

JOURNAL FREE ACCESS

2002 Volume 41 Issue 6 Pages 498-501

DOI https://doi.org/10.2169/internalmedicine.41.498

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Abstract

An 84-year-old woman was referred to our hospital because of aches and pain in her left hand and foot. Three months before her symptoms occurred, a pacemaker had been implanted for the treatment of a 2:1 atrioventricular block with bradycardia. In an X-ray examination, prominently decreased bone density was noted in her left fingers and toes. She was diagnosed to have CRPS-I, which was considered to have been induced by the pacemaker implantation. After treatment with methylprednisolone and Neurotropin^®, her symptoms dramatically improved.
(Internal Medicine 41: 498-501, 200

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