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Complex Regional Pain Syndrome type I with atypical scintigraphic pattern — diagnosis and evaluation of the entity with three phase bone scintigraphy. A case report
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Abstract
Complex Regional Pain Syndrome (CRPS) is a neurological disorder of unknown etiology which may lead to severe disability. Its diagnosis is very difficult and based on diagnostic criteria which have been changing over last years. Still, there is no golden standard in diagnosis of this entity. Three-phase bone scan is a widely used diagnostic modality which has been proved useful in CRPS evaluation. The syndrome may present various scintigraphic patterns. Different diagnostic modalities can also be helpful when CRPS is suspected including plain film radiography, magnetic resonance imaging and ultrasonography. Multidisciplinary approach is necessary for proper and quick diagnosis. We present a case of CRPS in 12-year-old girl in whom the diagnosis was based on the bone scan.
Abstract
Complex Regional Pain Syndrome (CRPS) is a neurological disorder of unknown etiology which may lead to severe disability. Its diagnosis is very difficult and based on diagnostic criteria which have been changing over last years. Still, there is no golden standard in diagnosis of this entity. Three-phase bone scan is a widely used diagnostic modality which has been proved useful in CRPS evaluation. The syndrome may present various scintigraphic patterns. Different diagnostic modalities can also be helpful when CRPS is suspected including plain film radiography, magnetic resonance imaging and ultrasonography. Multidisciplinary approach is necessary for proper and quick diagnosis. We present a case of CRPS in 12-year-old girl in whom the diagnosis was based on the bone scan.
Keywords
complex regional pain syndrome, etiology, diagnostic criteria, viper bite, nerve injury, three-phase bone scan, magnetic resonance imaging, plain film radiography, ultrasonography
About this articleTitle
Complex Regional Pain Syndrome type I with atypical scintigraphic pattern — diagnosis and evaluation of the entity with three phase bone scintigraphy. A case report
Journal
Issue
Article type
Case report
Pages
115-119
Published online
2014-07-31
Page views
2115
Article views/downloads
5249
DOI
10.5603/NMR.2014.0029
Bibliographic record
Nucl. Med. Rev 2014;17(2):115-119.
Keywords
complex regional pain syndrome
etiology
diagnostic criteria
viper bite
nerve injury
three-phase bone scan
magnetic resonance imaging
plain film radiography
ultrasonography
Authors
Marcin Pachowicz
Anna Nocuń
Jacek Postępski
Edyta Olesińska
Andrzej Emeryk
Beata Chrapko
