PULMONARY-EMBOLISM MANIFESTING AS ACUTE DISTURBANCES OF BEHAVIOR IN PATIENTS WITH SPINAL-CORD INJURY

被引:4
作者
FRISBIE, JH
SHARMA, GVRK
机构
[1] The Spinal Cord Injury and Medical Services, Department of Veterans Affairs Medical Center, Brockton, MA, 02401
[2] Harvard Medical School, Boston, MA
来源
PARAPLEGIA | 1994年 / 32卷 / 08期
关键词
SPINAL CORD INJURY; PULMONARY EMBOLISM; BEHAVIOR DISTURBANCE; ANXIETY; APPREHENSION;
D O I
10.1038/sc.1994.90
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Pulmonary embolism (PE) presented with short lived behavioral disturbances (BD) in four out of 13 consecutive patients with a proven PE. Three patients died of PE with evidence of recurrent thromboembolic disease at autopsy and one survived with PE (demonstrable by lung scanning). It is concluded that an acute behavioral disturbance in the acute spinal cord injury (SCI) patient can indicate PE, and the recognition of this possibility should lead to prompt investigation for pulmonary embolism.
引用
收藏
页码:570 / 572
页数:3
相关论文
共 12 条
[1]  
Frisbie J.H., Sharma G., Circadian rhythm of pulmonary embolism in patients with acute spinal cord injury, Am J Cardial, 70, pp. 847-848, (1992)
[2]  
Bell W.R., Simon T.L., Demets D., The clinical features of submassive and massive pulmonary emboli, Am J Med, 62, pp. 355-360, (1977)
[3]  
Barrett D.W., Jordan S.C., Anticoagulant drugs in the treatment of pulmonary embolism: A controlled trial, Lancet, 1, pp. 1309-1312, (1960)
[4]  
Goldhaber S.Z., Morpurgo M., Diagnosis, treatment, and prevention of pulmonary embolism, JAMA, 68, pp. 1727-1733, (1992)
[5]  
Guze S.B., Cantwell D.P., The prognosis in “organic brain” syndrome, Am 1 Psychiatry, 20, pp. 878-881, (1964)
[6]  
Thames M.D., Alpert J.S., Dalen J.E., Syncope in patients with pulmonary embolism, JAMA, 238, pp. 2509-2511, (1977)
[7]  
Sautter R.D., Fletcher F.W., Ousley J.L., Wenzel F.J., Extremely rapid resolution of a pulmonary embolus, Dis Chest, 52, pp. 825-827, (1967)
[8]  
Sevitt S., Gallagher N.G., Venous thrombosis and pulmonary embolism. A clinicopathological study in injured and burned patients, Br 1 Surg, 48, pp. 475-489, (1961)
[9]  
Walsh J.J., Tribe C.R., Venous thrombosis and pulmonary embolism in spinal cord injury, Paraplegia, 3, pp. 113-209, (1965)
[10]  
Colantonia D., Casale R., Lorenzetti G., Pasqualetti P., Chrono-risks in the episodes of fatal pulmonary thromboembolism, G Clin Med, 71, pp. 563-567, (1990)