Journal
JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY
Volume 16, Issue 3, Pages 566-573Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S1355617710000214
Keywords
Complex Regional Pain Syndrome; Reflex Sympathetic Dystrophy; Neuropsychological functioning; Executive functioning; Declarative memory; Neuropathic pain
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We sought to elucidate the existence of neuropsychological subtypes in Complex Regional Pain Syndrome (CAPS). One hundred thirty seven patients with CRPS were administered tests that assess executive control, naming/lexical retrieval, and declarative memory. A 2-step cluster analysis that does not require any a priori specification regarding the number of clusters, classified patients into three groups. Group I obtained scores that were in the average range on all tests (n = 48; normal CRSP group). Group (n = 58; dysexecutive CRSP group) presented with mild impairment or statistically low average test performance on working memory/verbal fluency tests. Group 3 (n = 31; global CRSP group) produced scores in the statistically low average/borderline range on all tests with particularly reduced scores on naming/declarative memory tests. Between-group analyses found that the CRPS group I obtained higher scores than CRPS groups 2 and 3 on all tests. However, groups 2 and 3 were equally impaired on executive tests. CRPS group 3 was impaired on tests of naming/memory tests compared to the other groups. Significant neuropsychological deficits are present in 65% of patients, with many patients presenting with elements of a dysexecutive syndrome and some patients presenting with global cognitive impairment. (JINS, 2010, 16, 566-573.)
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