Cerebral hemorrhage due to autonomic dysreflexia in a spinal cord injury patient

被引：47

作者：

Vallès, M ^{[1
]}

Benito, J ^{[1
]}

Portell, E ^{[1
]}

Vidal, J ^{[1
]}

机构：

[1] Inst Guttmann, Spinal Cord Injury Unit, Barcelona 08916, Spain

来源：

SPINAL CORD | 2005年 / 43卷 / 12期

关键词：

cerebral hemorrhage; hypertensive encephalopathy; autonomic dysreflexia; spinal cord injury;

D O I：

10.1038/sj.sc.3101780

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study design: Case report. Objective: To report an uncommon case of cerebral hemorrhage due to autonomic dysreflexia ( AD) in a spinal cord injury( SCI) patient. Setting: Institut Guttmann, Neurorehabilitation Hospital in Barcelona, Spain. Case report: An SCI patient developed AD due to urinary tract infection after surgery for a pressure sore. The hypertension was difficult to control and the case progressed to hypertensive encephalopathy. MRI of the brain was performed showing a hemorrhagic lesion on the left occipital area. The hypertension was. finally controlled and the neurological status improved although with some cognitive deficits. Conclusion: This is an uncommon case of cerebral hemorrhage due to AD, showing the importance of an adequate diagnosis and treatment of AD to avoid this life- threatening complication.

引用

页码：738 / 740

页数：3

共 14 条

[1] HYPERTENSIVE ENCEPHALOPATHY - CLINICOPATHOLOGIC STUDY OF 20 CASES [J].

CHESTER, EM ;

AGAMANOLIS, DP ;

BANKER, BQ ;

VICTOR, M .

NEUROLOGY, 1978, 28 (09) :928-939

[2]

Comarr A E, 1997, J Spinal Cord Med, V20, P345

[3]

Consortium for Spinal Cord Medicine, 2001, AC MAN AUT DYSR IND

[4] FATAL CEREBRAL-HEMORRHAGE DUE TO AUTONOMIC DYSREFLEXIA IN A TETRAPLEGIC PATIENT - CASE-REPORT AND REVIEW [J].

ELTORAI, I ;

KIM, R ;

VULPE, M ;

KASRAVI, H ;

HO, W .

PARAPLEGIA, 1992, 30 (05) :355-360

[5] SPINAL-CORD INJURY LEADING TO INTRACRANIAL HEMORRHAGE [J].

HANOWELL, LH ;

WILMOT, C .

CRITICAL CARE MEDICINE, 1988, 16 (09) :911-912

[6] Autonomic dysreflexia [J].

Karlsson, AK .

SPINAL CORD, 1999, 37 (06) :383-391

[7] COMPLICATIONS OF AUTONOMIC DYSREFLEXIA [J].

KURSH, ED ;

FREEHAFER, A ;

PERSKY, L .

JOURNAL OF UROLOGY, 1977, 118 (01) :70-72

[8]

Lee B Y, 1995, J Spinal Cord Med, V18, P75

[9]

Lloret-García J, 2002, REV NEUROLOGIA, V35, P1056

[10] AUTONOMIC HYPERREFLEXIA - A MORTAL DANGER FOR SPINAL-CORD DAMAGED WOMEN IN LABOR [J].

MCGREGOR, JA ;

MEEUWSEN, J .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1985, 151 (03) :330-333

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