Emergency management of autonomic dysreflexia with neurologic complications
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چکیده
منابع مشابه
Emergency management of autonomic dysreflexia with neurologic complications.
© 2016 Joule Inc. or its licensors CMAJ 1 A 59-year-old man with a complete (American Spinal Injury Association Impairment Scale A) spinal cord injury at the fourth thoracic vertebra (T4), secondary to a motor vehicle crash 42 years earlier, presented to the emergency department with a 12-hour history of headaches, loss of vision and nausea. He had no documented history of seizure, stroke, trau...
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Autonomic dysreflexia is an important clinical diagnosis that requires prompt treatment to avoid devastating complications. The condition may present itself to all members of medical and surgical specialties, who may not be accustomed to treating it. It is the clinician's responsibility to have a basic understanding of the pathophysiology of the condition and the simple steps required to treat it.
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Autonomic dysreflexia (AD) is a potentially life-threatening condition that occurs in individuals with a spinal cord injury at level T6 or above. Patients usually present with elevated blood pressure and bradycardia. Noxious stimuli to intact sensory nerves below the injury lead to relatively unopposed sympathetic outflow and dangerous blood pressure elevations. Parasympathetic outflow through ...
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Autonomic dysreflexia is an acute syndrome of excessive, uncontrolled sympathetic output that can occur in patients who have had an injury to the spinal cord (generally at or above the sixth thoracic neurologic level). It is caused by spinal reflex mechanisms that remain intact despite the patient's injury, leading to hypertension. This review describes the clinical features of autonomic dysref...
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Background & Importance: Acute autonomic system impairment can be dangerous and life-threatening, and a clinician should be aware of its occurrence possibility. According to the anatomy of this system, spinal cord lesions could disturb its function. There are many reports of autonomic dysreflexia in spinal cord i njuries especially spinal cord trauma. Case Presentation: A 28 year-o...
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ژورنال
عنوان ژورنال: Canadian Medical Association Journal
سال: 2016
ISSN: 0820-3946,1488-2329
DOI: 10.1503/cmaj.151311