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Síndrome de dolor regional complejo (CRPS) también conocido como distrofia simpática refleja (RSD) - Medical Animation

 

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Síndrome de dolor regional complejo (CRPS) también conocido como distrofia simpática refleja (RSD) - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: Síndrome de dolor regional complejo o CRPS, por sus siglas en inglés, anteriormente conocido como distrofia simpática refleja o RSD, por sus siglas en inglés, es una afección crónica que causa dolor persistente y con ardor, así como hinchazón en los brazos, manos, piernas o pies. La respuesta normal de su cuerpo a una lesión comienza cuando los receptores del dolor transmiten mensajes de dolor en forma de impulsos nerviosos al cerebro. Una vez que estos impulsos llegan a los centros de dolor en el cerebro, estos generan nuevos impulsos y los envían a través del sistema nervioso simpático a la zona de la lesión. Los impulsos simpáticos desencadenan una respuesta inflamatoria que provoca la expansión de los vasos sanguíneos. La respuesta inflamatoria también lleva a la hinchazón y el enrojecimiento en el tejido dañado. A medida que su herida cicatriza, la hinchazón y el enrojecimiento disminuyen y el dolor desaparece. Sin embargo, si usted padece de síndrome de dolor regional complejo, el dolor y la hinchazón no desaparecen después de la cicatrización de la herida y podrían empeorar con el tiempo. Aunque la causa exacta se desconoce, una teoría sugiere que, después de que la lesión se haya cicatrizado, los impulsos anormales continúan viajando a lo largo de los nervios hacia su piel y los vasos sanguíneos, estimulando la respuesta inflamatoria. Existen dos tipos de síndrome de dolor regional complejo, aunque los síntomas son los mismos para ambos. Si usted padece de CRPS 1, su afección puede haber sido provocada por una enfermedad o lesión, pero usted no tiene una lesión del nervio en la zona afectada. Si usted padece de CRPS 2, su afección está claramente relacionada a una lesión del nervio en la zona afectada. El tratamiento del síndrome de dolor regional complejo se centra en el tratamiento del dolor, ya que no hay cura para esta afección. Las opciones de tratamiento pueden incluir medicamentos, terapia física, bloqueo nervioso, implantación de un dispositivo que controla el dolor, cirugía y apoyo psicosocial.

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"Whether it's demonstrating a rotator cuff tear, neck movement a few milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report represents an instant on-line database of medical illustration for health-care and legal professionals.

Illustrations can be purchased 'as is' or modified within hours and sent either electronically or mounted on posterboard. An illustration is worth a thousand words, as juries perk up and look intently to capture concepts that are otherwise too abstract. Start with good illustrations, a clear and direct voice, a view of the jury as 12 medical students on day one of training, and your expert testimony becomes a pleasure, even on cross examination. An experienced trial lawyer should also emphasize these illustrations at the end of trial, as a means of visually reinforcing key concepts covered.

As a treating physician, I also use these accurate illustrations to educate my own patients about their medical conditions. The Doe Report is an invaluable resource, and its authors at MLA have always been a pleasure to work with."

Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
www.seattlespine.info

"It is my experience that it's much more effective to show a jury what happened than simply to tell a jury what happened. In this day and age where people are used to getting information visually, through television and other visual media, I would be at a disadvantage using only words.

I teach a Litigation Process class at the University of Baltimore Law Schooland use [Medical Legal Art's] animation in my class. Students always saythat they never really understood what happened to [to my client] until theysaw the animation.

Animations are powerful communication tools that should be used wheneverpossible to persuade juries."

Andrew G. Slutkin
Snyder Slutkin & Kopec
Baltimore, MD
"I just wanted to let you know that after several days on trial, I settled [my client's] construction accident case for $4.5 million. Immediately after the jury was discharged, I spoke with several jurors who told me that they really appreciated the medical illustrations for their clarity in dealing with [my client's] devastating injuries. They also expressed their gratitude in being able to read from a distance all of the notations without difficulty. Obviously, the boards were visually persuasive. I am certain that this contributed to our successful result."

Michael Gunzburg, Esq.
Attorney at Law.
New York, NY

"I wanted to take some time out to let you know what a wonderful job you did with the 'collapsed lung/fractured rib' illustrations. They were both detailed and accurate. My medical expert was comfortable working with them and he spent at least an hour explaining to the jury the anatomy of the lungs, the ribs and the injuries depicted in the illustrations. Needless to say, the jury was riveted to the doctor during his testimony.

The jury returned a verdict for $800,000.00 and I'm sure we would not have done so well if not for the visualizations we were able to put forth with your assistance. Lastly, my special thanks to Alice [Senior Medical Illustrator] who stayed late on Friday night and patiently dealt with my last minute revisions."

Daniel J. Costello
Proner & Proner
New York, NY













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