A Case of Shoulder-Hand Sydrome

Abstract

This case of shoulder-hand syndrome is reported because of the rarity of the condition with epilepsy.
CASE-N. Y. 44 years old man, suffering from epilepsy, felt acutely the pain, stiffness and swelling of his right hand in April of last year. After five months, though the patient admitted to some hospital and was treated with medication, thermal therapy and contrast bath, there has been no change in the severity of symptoms. In November of last year the patient began having acutely the pain, stiffness and the swelling of the left hand and shoulder, and developed increasingly into the contracture of the left hand, finger and shoulder joints. The patient was admitted to our clinic on March 23, 1970. General status revealed normal except the slight anemia and the enlarged liver. Local status revealed the muscular atrophy, the tenderness, the contracture of joints and the brownish discolored skin of the both hand and left shoulder. Examinations were normal. Radiogram on the suffering region showed diffuse, severe osteoporosis and thin-skinned cortex with intact bony margins at the joint lines.
Medication and physical therapy were not effective in this stadium. Stellate ganglion block was more effective on right arm and slight on left arm.