Abstract
High-level spinal cord injuries are often associated with autonomic impairment, which can result in orthostatic hypotension and syncope. Persistent autonomic dysfunction can manifest with disabling symptoms including recurrent syncopal events. We describe a case of autonomic failure resulting in recurrent syncopal events in a tetraplegic 66-year-old man.
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Data availability
All relevant data related to this case are available as part of the article. Clinical data related to this case are retained by the medical records department at Royal Rehab, and are unavailable for release due to legislative requirements regarding patient confidentiality.
Change history
10 August 2023
In Table 1, Mental StressTest was corrected to Mental Stress Test.
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Funding
No external funding was received for the production of this manuscript. LS and RH are both employees of Royal Rehab, which was not involved in the creation, content or decision to publish this manuscript.
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LS and RH were both involved in the clinical management of the patient’s care. LS authored the initial manuscript and RH provided a review and comments.
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Smith, L., Heriseanu, R. Recurrent syncope secondary to autonomic dysfunction in spinal cord injury: a case report. Spinal Cord Ser Cases 9, 23 (2023). https://doi.org/10.1038/s41394-023-00585-3
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DOI: https://doi.org/10.1038/s41394-023-00585-3