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In a message dated 6/28/99 11:07:46 PM Pacific Daylight Time, [log in to unmask] writes: << Two months back A forty five year old lady,developed hemiplegia on left side,with the involvement of face,as she was having hypertension,and diabetes no one was surprised,but not until she went in for CT brain where a huge meningioma was found.Face has recovered not the limbs.She is having flaccid paralysis of left arm.But for her that is not the problem ,Problem is SEVERE PAIN in left hand ,not responding to any conventional Analgesic,even opium derivatives. >> Could this be Reflex Sympathetic Dystrophy? Any time during the hemiplegia, patient could have injured her hand secondary to not being aware of where her hand was located (ie contact with a table) which could have precipitated edema in the hand and the progression of RSD. Just my initial thought.... Awaiting expert commentary... Sheri Bovard, SPT Mount St Mary's College Los Angeles, CA %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%