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Reflex Sympathetic Dystrophy (RSD) (CRPS) Message Board


Reflex Sympathetic Dystrophy (RSD) (CRPS) Board Index


Hey Everyone,
I found the following information published on a neurologist's website. Although I've read on many other sites that there is an emotional aspect to RSD, this one explains why. In a consoling post to me about my crying jags Aly told me that she felt she had gotten a personality transplant when she got CRaPS. Well, this explains how.
:eek: They're coming to take me away, ha-ha!! :eek:
Julie

[COLOR=DarkSlateBlue]The distressful, complex, chronic, regional pain syndrome of RSD, is felt from periphery all the way to the spinal cord, brain stem, thalamus up to the limbic system where the sensory input ends in the cerebral hemispheres. This sensory input is completely different from the somatic sensory input which ends up in the parietal lobe in post central gyrus of the opposite hemisphere. The sympathetic sensory input in the cerebral hemispheres is exclusively in the mesial-frontal and temporal regions (limbic system) of the brain (Benarrock, Mayo Clinic Proceedings, October 1993). The limbic system has the main function of emotional control, influence on memory, judgment, and mood.

The input of the sympathetic impulses into the limbic system on long term basis results in irritability, agitation, depression, insomnia, and poor judgment.

Mary Lynch (Pain:49:337-347, 1992) reviewed the subject of psychological aspects of RSD. Her conclusion was "There is general agreement that profound emotional and behavioral changes can follow these types of pain. Opinions have varied widely on the issue of a psychological etiology. [I][COLOR=DarkRed]It has often been suggested that certain personality traits pre-dispose one to develop sympathetically related pain syndromes. A review of the literature reveals no valid evidence to substantiate this claim".[/COLOR][/I]

RSD PATIENTS ARE EXPECTED TO BE DEPRESSED IN MORE THAN 3/4 OF THE CASES, ANXIOUS IN PRACTICALLY EVERY ONE OF THE CASES, AND TO SUFFER FROM INSOMNIA, AGITATION, IRRITABILITY AND POOR JUDGMENT IN PRACTICALLY EVERY ONE OF THE CASES. THESE MANIFESTATIONS ARE ONE OF THE FOUR CRITERIA FOR DIAGNOSIS OF RSD. THERE IS NO WAY THE LIMBIC SYSTEM CAN BE LEFT INTACT IN THE FACE OF RSD.[/COLOR]





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