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In the last few years the centenary of many events which occurred during the American Civil War has been celebrated. One important medical event has apparently passed unnoticed. This is the first description of that remarkable and fascinating complication of nerve wounds which we know as causalgia.
R. L. Richards
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Forty-eight cases of causalgia are described. The syndrome was caused by missile injury in 33 patients. There was a major arterial injury in 22 patients. Sympathetic block followed by sympathectomy abolished the pain in 11 of the first 14 patients in the series.
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Burning pain, hyperesthesia and trophic disturbances with their various side effects, resulting from injury to a peripheral nerve, were first grouped as a symptom complex in 1813 by Alexander Denmark, surgeon to Haslar Hospital. He described a typical picture of median nerve causalgia with ulceration of the palm of the hand.
I. JOSHUA SPEIGEL
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Nerve pathophysiology and mechanisms of pain in causalgia
Journal of the Autonomic Nervous System, 1983Marshall Devor
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THE ROLE OF SYMPATHECTOMY IN THE TREATMENT OF CAUSALGIA
1. Forty-eight cases of causalgia are reviewed and the clinical features are briefly described. 2. Multiple nerve injuries are common and the pain is often associated with all the injured nerves.
Barnes Roland, Roland Barnes
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INDUCTION OF INVOLUNTARY MOVEMENTS BY PERIPHERAL TRAUMA: AN ANALOGY WITH CAUSALGIA
Lancet, The, 1986G. Schott
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