PMID: 8951925Oct 1, 1996Paper

Reflex sympathetic dystrophy: skin blood flow, sympathetic vasoconstrictor reflexes and pain before and after surgical sympathectomy

Pain
R Baron, C Maier

Abstract

To examine the pathophysiological mechanisms of vascular disturbances and to assess the role of the sympathetic nervous system, 12 patients with reflex sympathetic dystrophy (RSD) of the hand were studied using laser Doppler flowmetry. Cutaneous blood flow, skin resistance and skin temperature were measured at the affected and contralateral hands. Sympathetic vasoconstrictor reflexes were induced bilaterally by deep inspiration. Four patients were treated with unilateral surgical sympathectomy and pain and vascular changes were documented in follow-up investigations. (1) After acclimatization in cold environment (< or = 18 degrees C) blood flow and skin temperature were considerably lower on the affected side in 10 patients. No additional vasoconstrictor reflexes could be elicited. (2) After acclimatization in warm environment (22-24 degrees C) blood flow and skin temperature demonstrated no side differences in all cases. Vasoconstrictor responses were the same on both sides. (3) After sympathectomy vasoconstrictor reflexes were absent. Skin resistance was considerably higher on the affected side. In the first 4 weeks the affected hand was warmer and blood flow was higher compared with the healthy side. Thereafter, skin tempera...Continue Reading

References

Jun 21, 1978·Pflügers Archiv : European journal of physiology·J R HalesE Kozawa
Jul 1, 1978·Journal of Neurology, Neurosurgery, and Psychiatry·L Loh, P W Nathan
May 1, 1976·Journal of Neurology, Neurosurgery, and Psychiatry·S Sunderland
Dec 1, 1992·Journal of the Autonomic Nervous System·R Casale, M Elam
Jan 1, 1992·Journal of Reconstructive Microsurgery·S N RajaJ N Campbell
Nov 1, 1991·Journal of Neurology, Neurosurgery, and Psychiatry·J S BeckF Khan
Dec 1, 1991·Archives of Neurology·G DeuschlC H Lücking
Jun 1, 1989·Brain : a Journal of Neurology·M A ClineH E Torebjörk
Jan 1, 1988·Fetal Therapy·K H NicolaidesS Campbell
May 1, 1987·Archives of Neurology·R J Schwartzman, T L McLellan
Apr 1, 1986·Journal of the Autonomic Nervous System·D S GoldsteinH R Keiser
Jun 1, 1985·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·O EngkvistB Nystrom
Oct 1, 1985·Journal of the Autonomic Nervous System·H Blumberg, W Jänig
Jan 21, 1984·British Medical Journal·C D MarsdenF La Cruz
Mar 1, 1983·Journal of the Autonomic Nervous System·P W Nathan
Nov 1, 1983·Neurology·A J TahmoushJ R Jennings
Apr 1, 1981·Pain·Albert J Tahmoush
May 1, 1980·Journal of Neurology, Neurosurgery, and Psychiatry·L LohP G Wilson
Sep 1, 1980·The Journal of Physiology·G BiniB G Wallin
Sep 1, 1994·The Clinical Journal of Pain·P A LowC L Willner
Jun 1, 1994·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·P D DrummondP J Goadsby
Jun 1, 1994·The Clinical Journal of Pain·A MailisD Pham
Dec 1, 1993·Journal of Neurology·R BaronV Lindner
Apr 1, 1994·Brain : a Journal of Neurology·G D Schott

❮ Previous
Next ❯

Citations

Jun 5, 1998·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·F BirkleinB Neundörfer
Mar 16, 2005·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Georg Gradl, Matthias Schürmann
Mar 17, 2001·Current Pain and Headache Reports·R Baron, G Wasner
Nov 30, 2000·Current Treatment Options in Neurology·P R Wilson
Nov 9, 2007·Neuromolecular Medicine·Tanja Schlereth, Frank Birklein
Jun 14, 2005·Autonomic Neuroscience : Basic & Clinical·J Feger, S Braune
Nov 14, 1998·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·E Keavney
Feb 13, 1999·Progress in Neurobiology·M J Millan
Mar 18, 2003·Joint, Bone, Spine : Revue Du Rhumatisme·Thao Pham, Pierre Lafforgue
Oct 24, 2003·Lancet Neurology·Wilfrid Jänig, Ralf Baron
Dec 1, 2006·Pain Practice : the Official Journal of World Institute of Pain·Michael D Stanton-HicksAli R Rezai
Jun 15, 2006·The Clinical Journal of Pain·David V Nelson, Brett R Stacey
Jun 15, 2006·The Clinical Journal of Pain·Stephen Bruehl, Ok Yung Chung
Jun 23, 2009·The Clinical Journal of Pain·Jaap J J BrunnekreefRob A B Oostendorp
Jan 24, 2014·Anesthesiology Research and Practice·Mario A Inchiosa
Jan 15, 2014·Autonomic Neuroscience : Basic & Clinical·Tanja SchlerethFrank Birklein
Sep 29, 2006·Radiology·Marius R SchmidJuerg Hodler
Feb 1, 2005·Anesthesiology·Charles B Berde, Alyssa Lebel
Feb 6, 2016·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Lior DayanGiris Jacob
Oct 29, 2013·Autoimmunity Reviews·A T Borchers, M E Gershwin
Jan 22, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·R Norman HardenUNKNOWN Reflex Sympathetic Dystrophy Syndrome Association
Aug 14, 2010·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Gunnar Wasner
Jan 19, 2010·ANZ Journal of Surgery·Felix C Behan, Cheng H Lo
Dec 4, 2010·The American Journal of Cardiology·Antonio Di MonacoFilippo Crea
Aug 13, 2015·Der Schmerz·C MaierC Sommer
Aug 13, 2003·Acta Neurologica Scandinavica·P SchwenkreisM Zenz
Jan 16, 2008·Pain Practice : the Official Journal of World Institute of Pain·Mario A Inchiosa, Grigory Kizelshteyn
Jul 1, 2015·Surgical Endoscopy·Moshe HashmonaiChristoph H Schick
Feb 3, 2005·Journal of Neurotrauma·Gabriel Guízar-SahagúnEnrique Hong
Jul 6, 2002·Pain·Gunnar WasnerRalf Baron

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.