Abstract
CRPS occurs in children less frequently than in adults, but in the last two
decades it has become a well-established entity in children and adolescents. The
symptomatology, course, responsiveness to treatment and prognosis of the
paediatric disease is also different from the “adult” form. The paper presents
the successful treatment of two cases of paediatric CRPS involving the lower
limb, by continuous epidural anaesthesia with bupivacaine. Both patients
developed the condition after minor trauma or overuse. CRPS diagnosis was based
on clinical grounds. Both patients presented a history of psychological
distress, due to familial problems. In one patient, the initial treatment was
lumbar sympathetic block, resulting in immediate and complete recovery. After
relapse of the disease at four months, the next intervention included continuous
epidural infusion of bupivacaine, with an excellent and rapid response. In the
2nd case, continuous epidural infusion was used primarily with
the same, excellent and fast result. The article discusses clinical
peculiarities, treatment modalities and other aspects of paediatric CRPS. Poor
awareness of the condition in the paediatric community is also emphasized
