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ORIGINAL ARTICLE
Year : 2006  |  Volume : 54  |  Issue : 3  |  Page : 279--282

Sympathetic skin responses in hemiplegic patients with and without complex regional pain syndrome

Barin Selcuk, Murat Ersoz, Murat Inanir, Aydan Kurtaran, Mufit Akyuz 
 1st PM and R Clinic, Ankara Physical Medicine and Rehabilitation Education and Research Hospital of Ministry of Health, Ankara, Turkey

Correspondence Address:
Barin Selcuk
Kasim Gülek Sok (50. Sok) 1/10 Bahçelievler, 06500 Ankara
Turkey

Background and Aims: To investigate whether there were changes in the sympathetic skin responses (SSR) in the limbs with complex regional pain syndrome (CRPS) type I in hemiplegic patients. Setting: A physical medicine and rehabilitation center in Turkey . Materials and Methods: Sympathetic skin responses were evaluated in 69 stroke patients (41 with CRPS and 28 without CRPS) and 20 healthy volunteers. SSR were recorded on the paretic and healthy hands after stimulation of the ipsilateral median nerve. Patients«SQ» ages ranged from 33 to 77 years, with a mean of 60.0 ± 12.9 years. Results: The SSR were obtained in all patients with CRPS, whereas SSR was absent in 9 of 28 patients with hemiplegia who did not have CRPS after stimulation of the plegic side and the difference was statistically significant ( P =0.023). SSR amplitudes were increased at the hemiplegic limbs in patients affected by CRPS compared to individuals unaffected; this group difference was statistically significant ( P =0.014). The mean amplitude of the SSR in the advanced stage of CRPS was greater than lower stage and the difference was statistically significant ( P =0.035). Conclusion: Our results suggest that SSR can be obtained in stroke patients with CRPS even in the early stages of CRPS. SSR acquirability and amplitude increase as the stage of the disease advances. As an electrophysiologic technique, SSR may be used in the evaluation of the sympathetic function in hemiplegic patients and also in the diagnosis of CRPS and in monitoring of its treatment.


How to cite this article:
Selcuk B, Ersoz M, Inanir M, Kurtaran A, Akyuz M. Sympathetic skin responses in hemiplegic patients with and without complex regional pain syndrome.Neurol India 2006;54:279-282


How to cite this URL:
Selcuk B, Ersoz M, Inanir M, Kurtaran A, Akyuz M. Sympathetic skin responses in hemiplegic patients with and without complex regional pain syndrome. Neurol India [serial online] 2006 [cited 2020 Sep 28 ];54:279-282
Available from: http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2006;volume=54;issue=3;spage=279;epage=282;aulast=Selcuk;type=0