Brief Answer: ?? Reflex Sympathetic Dystrophy Detailed Answer: Hi, I am glad to know that I am discussing with an anesthetist. I saw your question posted few hours ago and wished a neurologist would answer it soon. But since it has not been attended for long while now, I shall take this opportunity to answer it as I have been associated with department of neurology for few years now. I believe you are talking about Reflex Sympathetic Dystrophy, an autonomic disorder affecting the sympathetic system characterized by changes of vascular system and pain perception. If it's RSD that you are talking about the onset of symptoms is not very consistent; most patients present earlier than 70 years. Further we arrive at this diagnosis after physical examination extensive investigations. I wish you consult a doctor with whom you can follow up regularly as treatment can only be initiated after your doctor is convinced with the diagnosis. Besides RSD, I am unable to think of any other neurological disorder. It's unlikely that structural problems of thalamus / brain would cause recurring localized sensory symptoms. Regards

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Brief Answer: I would pass this question to neurologist on board Detailed Answer: I am sorry if my answer seemed wrong. I did have curbside consultation with my colleagues here and they are not very convinced that this may be from a neurological disorder. Off course a detailed clinical history would be helpful to obtain clues. Since you were talking about autonomic disturbances of sympathetic system, RSD was the closest possibility I could think off. As you don't seem satisfied, I don't feel I would do justice to your payment. I shall refund my payment to the management and request them to post your questions afresh to a neurologist. Thanks anyway for giving me an opportunity. Wish you good health!!!

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