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UCLA Neurosurgery

UCLA Neurosurgery

UCLA Neurosurgery
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    • Acoustic Neuroma
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    • Acromegaly
    • Acute Subdural Hematomas
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    • Ankylosing Spondylitis
    • Aqueductal Stenosis
    • Arachnoid Cysts
    • Arnold Chiari Malformation
    • Arteriovenous Malformation (AVM)
    • Astrocytoma
    • Ballism
    • Basilar Invagination
    • Brachial Plexus Injury
    • Brain Aneurysm
    • Brain Attack (Stroke)
    • Brain AVM
    • Brain Conditions
    • Brain Metastases
    • Brainstem Glioma
    • Carotid Dissection
    • Carotid Stenosis
    • Carpal Tunnel Syndrome
    • Causalgia
    • Cavernous Angioma
    • Cerebral Aneurysms
    • Cerebral Contusion and Intracerebral Hematoma
    • Chordomas
    • Chorea
    • Chronic Subdural Hematomas
    • Colloid Cyst
    • Coma
    • Concussion
    • Congenital Dermal Sinus
    • Cranial GunShot Wounds
    • Craniopharyngioma
    • Craniosynostosis
    • Cushing's Disease
    • Cyst Epidermoid Tumor
    • Dandy Walker Syndrome
    • Degenerative Disc Disease
    • Dermoid Tumor
    • Disc Herniation
    • Dural Arteriovenous Malformations
    • Dystonia
    • Ependymoma
    • Epidermoid Tumor (Cyst)
    • Epidural Hematomas
    • Epilepsy
    • Essential Tremor
    • Extratemporal Lobe Epilepsies
    • Facet Joint Syndrome
    • Fibromyalgia
    • Frontal Lobe Epilepsy
    • Ganglioglioma
    • Glioblastoma
    • Germinoma
    • Glioma
    • Glomus Jugulare Tumor
    • Glossopharyngeal Neuralgia
    • Hemangioblastomas
    • Hemi-Facial Spasm
    • Hydrocephalus
    • Hyperhidrosis
    • Intracerebral Hemorrhage
    • Intracranial Hypotension
    • JPA
    • Low-Grade Astrocytoma
    • Lymphocytic Hypophysitis
    • Lymphoma
    • Malignant Nerve Sheath Tumors
    • Medulloblastoma
    • Meningioma Brain Tumor
    • Meralgia Paresthetica
    • Metastatic Brain Tumors
    • Moyamoya Disease
    • Myelomeningocele
    • Myelopathy
    • Nelson's Syndrome
    • Neurocysticercosis
    • Neurofibromatosis Type 2 and Schwannomatosis
    • Normal Pressure Hydrocephalus
    • Oligodendroglioma
    • Optic Nerve Glioma
    • Osteoarthritis of the Peripheral Joint
    • Osteoarthritis of the Spine
    • Osteomyelitis
    • Osteoporotic Vertebral Fractures
    • Parkinsons Syndrome
    • Pediatric Conditions
    • Pediatric Hydrocephalus
    • Peripheral Nerve Injury
    • Phantom Limb Pain
    • Pineal Tumor
    • Pineoblastoma
    • Pineocytoma
    • Platybasia
    • Postherpetic Neuralgia
    • Post-Traumatic Seizures
    • Primary CNS Lymphoma
    • Pseudotumor Cerebri
    • Radiculopathy—Cervical & Lumbar (Pinched Nerve)
    • Recurrent Adenomas
    • Rheumatoid Arthritis
    • Schwannomas
    • Scoliosis
    • Seizure
    • Skull Fracture
    • Slit Ventricle Syndrome
    • Spasticity
    • Spinal Arteriovenous Malformation (AVM)
    • Spinal Compression Fractures
    • Spine Conditions
    • Spinal Cord Injury
    • Spinal Cord Lipomas & Lipomyelomeningoceles
    • Spinal Cord Tumors
    • Stenosis
    • Subarachnoid Hemorrhage
    • Syringomyelia
    • Tethered Cord Syndrome
    • Thoracic Outlet Syndrome
    • Thyrotroph (TSH) Secreting Adenomas
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UCLA Neurosurgery

Conditions Treated

Conditions Treated

Conditions Treated

  • Acoustic Neuroma
  • Adult Tethered Cord
  • Acromegaly
  • Acute Subdural Hematomas
  • Anaplastic Astrocytoma (AA)
  • Ankylosing Spondylitis
  • Aqueductal Stenosis
  • Arachnoid Cysts
  • Arnold Chiari Malformation
  • Arteriovenous Malformation (AVM)
  • Astrocytoma
  • Ballism
  • Basilar Invagination
  • Brachial Plexus Injury
  • Brain Aneurysm
  • Brain Attack (Stroke)
  • Brain AVM
  • Brain Conditions
  • Brain Metastases
  • Brainstem Glioma
  • Carotid Dissection
  • Carotid Stenosis
  • Carpal Tunnel Syndrome
  • Causalgia
  • Cavernous Angioma
  • Cerebral Aneurysms
  • Cerebral Contusion and Intracerebral Hematoma
  • Chordomas
  • Chorea
  • Chronic Subdural Hematomas
  • Colloid Cyst
  • Coma
  • Concussion
  • Congenital Dermal Sinus
  • Cranial GunShot Wounds
  • Craniopharyngioma
  • Craniosynostosis
  • Cushing's Disease
  • Cyst Epidermoid Tumor
  • Dandy Walker Syndrome
  • Degenerative Disc Disease
  • Dermoid Tumor
  • Disc Herniation
  • Dural Arteriovenous Malformations
  • Dystonia
  • Ependymoma
  • Epidermoid Tumor (Cyst)
  • Epidural Hematomas
  • Epilepsy
  • Essential Tremor
  • Extratemporal Lobe Epilepsies
  • Facet Joint Syndrome
  • Fibromyalgia
  • Frontal Lobe Epilepsy
  • Ganglioglioma
  • Glioblastoma
  • Germinoma
  • Glioma
  • Glomus Jugulare Tumor
  • Glossopharyngeal Neuralgia
  • Hemangioblastomas
  • Hemi-Facial Spasm
  • Hydrocephalus
  • Hyperhidrosis
  • Intracerebral Hemorrhage
  • Intracranial Hypotension
  • JPA
  • Low-Grade Astrocytoma
  • Lymphocytic Hypophysitis
  • Lymphoma
  • Malignant Nerve Sheath Tumors
  • Medulloblastoma
  • Meningioma Brain Tumor
  • Meralgia Paresthetica
  • Metastatic Brain Tumors
  • Moyamoya Disease
  • Myelomeningocele
  • Myelopathy
  • Nelson's Syndrome
  • Neurocysticercosis
  • Neurofibromatosis Type 2 and Schwannomatosis
  • Normal Pressure Hydrocephalus
  • Oligodendroglioma
  • Optic Nerve Glioma
  • Osteoarthritis of the Peripheral Joint
  • Osteoarthritis of the Spine
  • Osteomyelitis
  • Osteoporotic Vertebral Fractures
  • Parkinsons Syndrome
  • Pediatric Conditions
  • Pediatric Hydrocephalus
  • Peripheral Nerve Injury
  • Phantom Limb Pain
  • Pineal Tumor
  • Pineoblastoma
  • Pineocytoma
  • Platybasia
  • Postherpetic Neuralgia
  • Post-Traumatic Seizures
  • Primary CNS Lymphoma
  • Pseudotumor Cerebri
  • Radiculopathy—Cervical & Lumbar (Pinched Nerve)
  • Recurrent Adenomas
  • Rheumatoid Arthritis
  • Schwannomas
  • Scoliosis
  • Seizure
  • Skull Fracture
  • Slit Ventricle Syndrome
  • Spasticity
  • Spinal Arteriovenous Malformation (AVM)
  • Spinal Compression Fractures
  • Spine Conditions
  • Spinal Cord Injury
  • Spinal Cord Lipomas & Lipomyelomeningoceles
  • Spinal Cord Tumors
  • Stenosis
  • Subarachnoid Hemorrhage
  • Syringomyelia
  • Tethered Cord Syndrome
  • Thoracic Outlet Syndrome
  • Thyrotroph (TSH) Secreting Adenomas
  • Torticollis
  • Traumatic Hematomas
  • Trigeminal Neuralgia
  • Trochanteric Bursitis
  • Ulnar Nerve Entrapment
  • Acoustic Neuroma
  • Adult Tethered Cord
  • Acromegaly
  • Acute Subdural Hematomas
  • Anaplastic Astrocytoma (AA)
  • Ankylosing Spondylitis
  • Aqueductal Stenosis
  • Arachnoid Cysts
  • Arnold Chiari Malformation
  • Arteriovenous Malformation (AVM)
  • Astrocytoma
  • Ballism
  • Basilar Invagination
  • Brachial Plexus Injury
  • Brain Aneurysm
  • Brain Attack (Stroke)
  • Brain AVM
  • Brain Conditions
  • Brain Metastases
  • Brainstem Glioma
  • Carotid Dissection
  • Carotid Stenosis
  • Carpal Tunnel Syndrome
  • Causalgia
  • Cavernous Angioma
  • Cerebral Aneurysms
  • Cerebral Contusion and Intracerebral Hematoma
  • Chordomas
  • Chorea
  • Chronic Subdural Hematomas
  • Colloid Cyst
  • Coma
  • Concussion
  • Congenital Dermal Sinus
  • Cranial GunShot Wounds
  • Craniopharyngioma
  • Craniosynostosis
  • Cushing's Disease
  • Cyst Epidermoid Tumor
  • Dandy Walker Syndrome
  • Degenerative Disc Disease
  • Dermoid Tumor
  • Disc Herniation
  • Dural Arteriovenous Malformations
  • Dystonia
  • Ependymoma
  • Epidermoid Tumor (Cyst)
  • Epidural Hematomas
  • Epilepsy
  • Essential Tremor
  • Extratemporal Lobe Epilepsies
  • Facet Joint Syndrome
  • Fibromyalgia
  • Frontal Lobe Epilepsy
  • Ganglioglioma
  • Glioblastoma
  • Germinoma
  • Glioma
  • Glomus Jugulare Tumor
  • Glossopharyngeal Neuralgia
  • Hemangioblastomas
  • Hemi-Facial Spasm
  • Hydrocephalus
  • Hyperhidrosis
  • Intracerebral Hemorrhage
  • Intracranial Hypotension
  • JPA
  • Low-Grade Astrocytoma
  • Lymphocytic Hypophysitis
  • Lymphoma
  • Malignant Nerve Sheath Tumors
  • Medulloblastoma
  • Meningioma Brain Tumor
  • Meralgia Paresthetica
  • Metastatic Brain Tumors
  • Moyamoya Disease
  • Myelomeningocele
  • Myelopathy
  • Nelson's Syndrome
  • Neurocysticercosis
  • Neurofibromatosis Type 2 and Schwannomatosis
  • Normal Pressure Hydrocephalus
  • Oligodendroglioma
  • Optic Nerve Glioma
  • Osteoarthritis of the Peripheral Joint
  • Osteoarthritis of the Spine
  • Osteomyelitis
  • Osteoporotic Vertebral Fractures
  • Parkinsons Syndrome
  • Pediatric Conditions
  • Pediatric Hydrocephalus
  • Peripheral Nerve Injury
  • Phantom Limb Pain
  • Pineal Tumor
  • Pineoblastoma
  • Pineocytoma
  • Platybasia
  • Postherpetic Neuralgia
  • Post-Traumatic Seizures
  • Primary CNS Lymphoma
  • Pseudotumor Cerebri
  • Radiculopathy—Cervical & Lumbar (Pinched Nerve)
  • Recurrent Adenomas
  • Rheumatoid Arthritis
  • Schwannomas
  • Scoliosis
  • Seizure
  • Skull Fracture
  • Slit Ventricle Syndrome
  • Spasticity
  • Spinal Arteriovenous Malformation (AVM)
  • Spinal Compression Fractures
  • Spine Conditions
  • Spinal Cord Injury
  • Spinal Cord Lipomas & Lipomyelomeningoceles
  • Spinal Cord Tumors
  • Stenosis
  • Subarachnoid Hemorrhage
  • Syringomyelia
  • Tethered Cord Syndrome
  • Thoracic Outlet Syndrome
  • Thyrotroph (TSH) Secreting Adenomas
  • Torticollis
  • Traumatic Hematomas
  • Trigeminal Neuralgia
  • Trochanteric Bursitis
  • Ulnar Nerve Entrapment
  1. Home
  2. Conditions Treated
  3. Causalgia

Causalgia

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About Causalgia

General Information

  • Causalgia is a rare pain syndrome related to partial peripheral nerve injuries. The peripheral nervous system encompasses nerves that extend from the central nervous system of the brain and spinal cord to serve limbs and organs.
  • Severe cases are called major causalgia. Minor causalgia describes less severe forms, similar to reflex sympathetic dystrophy (RSD). RSD includes muscular and joint pain symptoms, and changes in bone density.
  • Causalgia is usually caused by brachial plexus injuries, involving nerves that run from the neck to the arm. The disruption of neural signals causes pain and increased release of the neurotransmitter norepinephrine, which causes vascular symptoms.

Symptoms

  • Symptoms usually involve burning pain prominent in the hand or foot within 24 hours of injury. Almost any sensory stimulation worsens the pain.
  • Vascular changes include either increased or decreased blood flood due to dilation or constriction of blood vessels.
  • Other symptoms include dry, scaly skin; still joints; tapering fingers; ridged nails; long, coarse hair or hair loss; and changes in sweating.

Diagnosis

  • Diagnosis entails a thorough medical history and physical examination. Physical exams can be difficult to perform due to pain.

Treatment/Outcome

  • Medical therapy is usually ineffective.
  • Sympathetic block, which involves a series of localized anesthetic injections to block certain signals from the sympathetic nervous system, brings lasting relief to 18 percent to 25 percent of patients.
  • Surgical sympathectomy, or surgery to block certain nerve signals, brings complete relief to more than 80 percent of patients and relief of sympathetic symptoms to 90 percent. Similar results are found among patients with reflex sympathetic dystrophy.
    • Techniques used include anterior thoracic, thoracic endoscopy, percutaneous radiofrequency and supraclavicular.
    • The risk of significant complication is approximately 5 percent.
    • Risks include collapsed lung, pain in the rib area, spinal cord injury, and Horner's syndrome. Symptoms of the syndrome include drooping eyelid, contracted pupils, absence of sweating and receding eyeball.
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