Microcirculatory Disorders and Dystrophic Syndrome

  • N. Kotzki
  • J. M. Casillas
  • P. O. Kotzki
  • J. P. Didier
Conference paper


Usually characterized by its clinical symptoms, the reflex sympathetic dystrophy syndrome (RSDS) has only recently been the subject of anatomopatholog-ic studies [6, 11]. The modifications of the bones, as consequence of osteogenesis alteration, have been linked to microcirculatory disorders of capillary vasodilatation or plasmatic exudation of the medullary space type. Disorders in the arteriolocapillary regulation have been suspected for many years and recent works have backed up former theories by involving microcirculation [4, 5, 10, 12]. The use of isotopic and dynamic exploration has confirmed the extension of microcirculatory disequilibrium to the periarticular tissues and to the skin by objectivizing stasis and capillary vasodilatation. We tried to evaluate this data on a series of hemiplegic patients with shoulder-hand syndrome by combining noninvasive examinations with three-phase bone scintigraphy.


Hemiplegic Patient Methylene Diphosphonate Plasmatic Exudation Microcirculatory Disorder Transcutaneous Measurement 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • N. Kotzki
  • J. M. Casillas
  • P. O. Kotzki
  • J. P. Didier

There are no affiliations available

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