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Post-Stroke CRPS — SCE Neurology MCQ

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ModerateNeurorehabilitationPost-Stroke CRPSSCE Neurology

A 65-year-old man with stroke develops complex regional pain syndrome in the hemiplegic hand — pain with allodynia, colour changes, swelling, and patchy osteoporosis. Diagnosis?

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Correct answer: C — CRPS type 1 — a recognised post-stroke complication affecting 12–20% of hemiplegic patients

CRPS type 1: pain, allodynia, vasomotor changes, oedema, trophic changes, and osteoporosis in the hemiplegic limb. Early recognition and treatment (physiotherapy, pain management, corticosteroids) are important. A: No DVT features. C: Separate entity. D: No infection. E: No crystal arthritis.

Reference: RCP Stroke Guidelines; Budapest Criteria