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Reflex Sympathetic Dystrophy (RSD and CRPS) Reflex Sympathetic Dystrophy (Complex Regional Pain Syndromes Type I) and Causalgia (Complex Regional Pain Syndromes Type II)(RSD and CRPS) |
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This is the final paragraph before the listed references (this artical was published in jan 2000)
CS, IS and MS may be distinct phenomena and it is possible to hypothesize different underlying causes for each. However, it is also possible that all three kinds of spread may be expressions of a generalized disorder of CNS regulation of neurogenic infammation. Neurogenic infammation is almost certainly a multi-dimensional phenomenon involving, for example, the generation of antidromic impulses in primary afferent sensory neurons (resulting in the peripheral release of neuropeptides like substance P and calcitonin gene-related peptide), an interaction between primary afferent terminals and the terminals of postganglionic sympathetic efferents, and CNS regulation of the immune system's contribution to infammation (Eliav et al., 1999). Aberrant CNS regulation of neurogenic inflammation may account for the initial appearance of CRPS-I/RSD, for all three kinds of spread, for the movement disorder (Schwartzman and Kerrigan, 1990; Bhatia et al., 1993; Veldman et al., 1993; Baron et al., 1996), and for the dysregulation of vasomotor and sudomotor function (Kozin et al., 1976a,b; JaČnig, 1985; Schwartzman and Kerrigan, 1990; Bej and Schwartzman, 1991; Herrick et al., 1994; Baron and Maier, 1996; Kurvers et al., 1996; Birklein et al., 1998; Wasner et al., 1999).: |
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