Bilateral cingulumotomy in the treatment of reflex sympathetic dystrophy.

Bilateral anterior cingulumotomy has been used to treat psychiatric diseases and chronic pain. We report an interesting case involving a young woman who underwent cingulumotomy for the treatment of intractable total body pain secondary to generalized reflex sympathetic dystrophy. Her initial response after two procedures was excellent though 1 year later her pain recurred and was resistant to a subsequent cingulumotomy.