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Perineal Reflex Sympathetic Dystrophy Treated with Bilateral Lumbar Sympathectomy

Walter L. Olson Jr., MD
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Requests for Reprints: Walter L. Olson, Jr., MD, Toledo Neurological Institute, 6005 Monclova Road, Maumee, OH 43537.

Current Author Address: Dr. Olson: Toledo Neurological Institute, 6005 Monclova Road, Maumee, OH 43537.

Ann Intern Med. 1990;113(8):633-634. doi:10.7326/0003-4819-113-8-633
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This excerpt has been provided in the absence of an abstract.

Silas Weir Mitchell (1) first described the exquisitely painful disorder to which he later ascribed the name causalgia (2). Many other labels, including the reflex sympathetic dystrophy syndrome (3), have been used, each emphasizing a different feature of the disorder. A previous article on penile reflex sympathetic dystrophy (4) is supported by this case report. This disease should be diagnosed promptly to prevent unnecessary progression.

Case Report: A 65-year-old, right-handed, white man had colonic adenocarcinoma metastatic to the pelvis treated by primary resection and radiation therapy with both chemotherapy and radiation therapy to metastatic implants. Six months before consultation, he


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