Journal of Rehabilitation Research & Development (JRRD)

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Volume 53 Number 4, 2016
   Pages 483 — 486

Abstract — Case study: Gluteal compartment syndrome as a cause of lumbosacral radiculoplexopathy and complex regional pain syndrome

Andrew Lederman, MD;1–2* David Turk, MD;1–2 Antonio Howard, MD;1–2 Srinivas Reddy, MD;3 Michelle Stern, MD2

1Department of Rehabilitation Medicine, Montefiore Medical Center, Bronx, NY; Departments of 2Rehabilitation Medicine and 3Surgery, Jacobi Medical Center, Bronx, NY

Abstract — We present the case of a 24 yr old male who was diagnosed with gluteal compartment syndrome and was subsequently found to have developed lumbosacral radiculoplexopathy and complex regional pain syndrome. The patient's gluteal compartment syndrome was diagnosed within 24 h of presentation to the emergency room, and he underwent emergent compartment release. While recovering postoperatively, persistent weakness was noted in the right lower limb. Results of electrodiagnostic testing were consistent with a lumbosacral radiculoplexopathy. After admission to inpatient rehabilitation, the patient complained of pain, burning sensation, and numbness in the distal right lower limb. Based on clinical findings, he was diagnosed with complex regional pain syndrome type II, or causalgia, and was referred for a lumbar sympathetic block under fluoroscopic guidance. Sympathetic block resulted in relief of the patient's symptoms. He was discharged home with good pain control on oral medications.

Key words: case report, causalgia, complex regional pain syndrome, electromyography, fasciotomy, gluteal compartment syndrome, lumbosacral radiculoplexopathy, renal failure, rhabdomyolysis, sympathetic block.


View HTML ¦ View PDF ¦ Contents Vol. 53, No.4

This article and any supplementary material should be cited as follows:
Lederman A, Turk D, Howard A, Reddy S, Stern M. Case study: Gluteal compartment syndrome as a cause of lumbosacral radiculoplexopathy and complex regional pain syndrome. J Rehabil Res Dev. 2016;53(4):483–86.
http://dx.doi.org/10.1682/JRRD.2015.01.0007
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