Hemiplegia in the six cases here described was followed by a painful syndrome in the affected upper extremity. Progressive changes were observed in soft tissues, joints, and bones. Ipsilateral stellate ganglion blocks afforded prompt but not always permanent relief, and the two patients who submitted to high thoracic sympathectomy obtained lasting benefit. The evidence showed that much of the disability represented inhibition caused by severe pain and trophic changes. The prompt remission of the symptoms after sympathetic block or sympathectomy enabled the patient to utilize powers still latent in the extremity and greatly facilitated the program of rehabilitation.
Moskowitz E, Bishop HF, Pe H, Shibutani K. POSTHEMIPLEGIC REFLEX SYMPATHETIC DYSTROPHY. JAMA. 1958;167(7):836–838. doi:10.1001/jama.1958.02990240036007
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: