Abstract
Autonomic dysreflexia is the most important specific complication of high level spinal cord injury both in tetraplegic and in paraplegic patients above the midthoracic neural segment. It is a life threatening emergency that may lead to apoplexy. We present a case of fatal cerebral hemorrhage due to autonomic dysreflexia in order to demonstrate the gravity of this particular syndrome.
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Guttmann L (1976) Spinal Cord Injuries: Comprehensive Management and Research. Chapter 27. Blackwell Scientific Publications, London.
Comarr A E (1984) Autonomic dysreflexia (hyperreflexial). J Appl Physiol 7(3): 55–57.
Bors E, Comarr A E (1971) In: Karger S, editor. Neurological Urology. University Park Press, New York: 88.
Linden R, Leffler E J, Kedia K R (1985) A comparison of the efficacy of an Alpha-I-adrenergic blocker and a slow calcium channel blocker in the control of autonomic dysreflexia. Paraplegia 23: 34–38.
Black J (1988) Autonomic dysreflexia/hyperreflexia in spinal cord injury: description and treatment. AUAA J 8(4): 12.
Frankel H L, Mathias C J (1979) Cardiovascular aspects of autonomic dysreflexia since Guttmann and Whitteridge (1947). Paraplegia 17: 46–51.
Gimovsky M L, Ojeda A, Ozaki R, Zerne S (1985) Management of autonomic hyperreflexia associated with low thoracic spinal cord lesion. Am J of Obstet Gynecol 153: 223–224.
Linden R, Leffler E, Freehafer A, Lyons A M, Hazel C (1986) Further Experience with Nifedipine in the Treatment of Autonomic Dysreflexia. Spinal Cord Injury Service, Cuyahoga County Hospital, Highland View, Cleveland, Ohio.
McGuire E J, Rossier A B (1983) Treatment of acute autonomic dysreflexia. J Urol 129: 1185–1187.
Hilton J (1860) A course of lectures in pain and the therapeutic influences of mechanical and physiological rest in accidents and surgical diseases. Lancet October: 401–404.
Barnett H J M, Stein B M, Mohr J P, Yatsu F M (1986) Stroke Pathophysiology, Diagnosis, and Management. Volume I, Chapter 27. Churchill Livingstone, New York.
Yarkony G M, Katz R T, Wu Y C (1986) Seizures secondary to autonomic dysreflexia. Arch Phys Med Rehabil 67: 834–835.
Linden R, Joiner E, Freehafer A A, Hazel C (1980) Incidence and clinical features of autonomic dysreflexia in patients with spinal cord injury. Paraplegia 18: 285–292.
Kursh E D, Freehafer A, Persky L (1977) Complications of autonomic dysreflexia. J Urol 118: 70–72.
Hanowell L H, Wilmot C (1988) Spinal cord injury leading to intracranial hemorrhage. Crit Care Med 16(9): 911–912.
Guttmann L, Whitteridge D (1947) Effects of bladder distension on autonomic mechanisms after spinal cord injuries. Brain 70: 361–405.
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Eltorai, I., Kim, R., Vulpe, M. et al. Fatal cerebral hemorrhage due to autonomic dysreflexia in a tetraplegic patient: case report and review. Spinal Cord 30, 355–360 (1992). https://doi.org/10.1038/sc.1992.82
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DOI: https://doi.org/10.1038/sc.1992.82
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