Causalgia


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Related to Causalgia: causalgia neuralgia

causalgia

[kȯ′zal·jē·ə]
(medicine)
A sensation of burning pain, especially of the palms and soles, which may be of psychic or organic origin.

Causalgia

 

a painful condition that develops after injury to the extremities, characterized by excruciating, unendurable, intermittently intensifying pains, mostly of a burning nature.

Causalgia results from injury to a nerve trunk (when it is not completely severed) that has an abundance of sympathetic nerve fibers such as the sciatic and tibial nerves in the leg and the median and (less commonly) ulnar nerves in the arm. Between five and ten days after injury, pain arises in the extremity along with marked autonomic disturbances—vascular, secretory and trophic. These changes, like the burning pains, sometimes involve the neck and upper part of the chest, when an arm is affected, and the lower part of the abdomen when a leg is affected. The pains intensify at the slightest movement or light contact with the skin (especially stroking) and are affected by emotional stress, noise, and light. Cooling and constantly wetting the skin usually diminishes the pains.

Causalgia occurs in two forms—ischemic (coldness and pallorof the extremity, trophic disorders) and hyperemic; the latter ismilder and its disorders are less pronounced, and it tends todisappear spontaneously after four or five months. Treatmentinvolves the injection of novocain or alcohol into the area of theaffected nerve trunk or of the ganglion-blocking substances intothe sympathetic ganglia. Physical therapy may be helpful (elec-trophoresis with novocain, X-ray therapy). Surgery is indicated(freeing the nerve from scars) if more conservative treatmentfails.[H-1604–4]

References in periodicals archive ?
The combination of all local terapies seems to be useful in sciatic causalgia after acetabular fracture (56).
Para cuando comenzo a escribir su tratado sobre el miembro fantasma, sobre la causalgia y la neuritis ascendente, unos quinientos mil hombres habian resultado heridos, y de los sobrevivientes, muchos regresaron desahuciados.
type II was formerly termed causalgia and refers to cases where a definable nerve lesion is present.
Most nurses are familiar with the causalgias that accompany hemiparesis after a stroke, the phantom pain that may follow an amputation, and the pain associated with long-term diabetic neuropathy.
La primera descripcion de causalgia se remonta a los tiempos de la Guerra Civil estadounidense, en la que sir Weir Mitchell, uno de los padres de la neurologia moderna, observo que los soldados heridos con lesiones mayores en los nervios de las extremidades experimentaban episodios prolongados de dolor quemante; Mitchell le asigno el nombre de causalgia, del griego kausos, que significa calor, y algos, dolor (1-3).
El diagnostico diferencial del tumor glomico incluye lo siguiente: neuroma, gota, artritis, causalgia, ganglion (este ultimo tiende a ser mas quistico, lo que se detecta por aspiracion o transiluminacion), fibromas de la vaina tendinosa, quistes de inclusion epidermica, fibroqueratoma, nodulos reumatoides, metastasis, condrosarcoma, osteosarcoma, xantoma tendinoso y reticulo-histiocitoma.
CRPS II, previously called causalgia (a term coined in the American Civil War when it was first diagnosed), follows partial damage to a nerve.
CRPS type II or causalgia involves injury to a peripheral nerve trunk.
El DNO, aunque se presenta por enfermedades diferentes al cancer (artritis, neuralgia, causalgia, fibromialgia, entre otras), con mucha frecuencia favorece la incertidumbre, se asocia con el sufrimiento, la limitacion fisica y la discapacidad.
Desde 1598 hay reportes en la literatura que describen formas clinicas similares, pero el primero en describir el termino causalgia en 1864 fue Silas Weir Mitchell, (1) durante la segunda guerra civil americana.
Type II represents causalgia, which involves cases in which a definite nerve lesion occurred.