Autonomic dysreflexia in a parturient with spinal cord injury.

نویسندگان

  • S L Osgood
  • K M Kuczkowski
چکیده

Autonomic dysreflexia (ADR) is a syndrome of imbalanced reflex sympathetic discharge occurring in patients with spinal cord injury (SCI) at or above the level of splanchnic sympathetic outflow (T6). We present the case of a 29 year-old, gravida 3, para 1 Caucasian female at 28 weeks gestation, with a history of T3 SCI secondary to a gunshot wound 9 years prior, who developed ADR during preterm labor and received epidural anesthesia during 6 days of labor followed by spinal anesthesia for cesarean section. Spinal anesthesia may be superior to epidural anesthesia for providing hemodynamic protection against ADR during cesarean section.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Acute Severe Autonomic Dysreflexia during Spinal Cord Intramedullary Tumor Resectione

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...

متن کامل

بررسی اتونومیک دیس رفلکسی (Autonomic Dysreflexia) در۵۰ مورد از بیماران ضایعه نخاعی

ABSTRACT: Autonomic dysreflexia is a syndrome describing sympathetic overactivity occuring in patients with spinal cord lesions. This study is based on the determination of epidemiology , predisposing factors and relation of this syndrome to severity and level of the spinal cord lesion. Fifty spinal cord injured patients were studied retrospectively in Gilan province,in Center of Spinal Cord ...

متن کامل

Grover's disease in chronic kidney failure.

1. Gunduz H, Binak DF. Autonomic dysreflexia: an important cardiovascular complication in spinal cord injury patients. Cardiol J. 2012;19:215–9. 2. Phillips AA, Ainslie P, Krassioukov AV, Warburton DE. Regulation of cerebral blood flow after spinal cord injury. J Neurotrauma. 2013;30:1551–63. 3. Abrams G, Wakasa M. Chronic complications of spinal cord injury. UptoDate; 2013. 4. Karlsson AK. Aut...

متن کامل

Neutralizing intraspinal nerve growth factor blocks autonomic dysreflexia caused by spinal cord injury.

Autonomic dysreflexia is a condition that develops after spinal cord injury in which potentially life-threatening episodic hypertension is triggered by stimulation of sensory nerves in the body below the site of injury. Central sprouting of small-diameter primary afferent fibers in the dorsal horn of the spinal cord occurs concurrently with the development of this condition. We propose a model ...

متن کامل

Autonomic Dysreflexia Resulting in Seizure After Colonoscopy in a Patient With Spinal Cord Injury

There are many potential procedural risks associated with colonoscopy. We present a case of autonomic dysreflexia complicated by seizure after colonoscopy in a patient with a spinal cord injury. Autonomic dysreflexia is a disorder characterized by hypertension, bradycardia, headache, and diaphoresis and is associated with spinal cord injuries above the level of T6. Episodes can be precipitated ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Acta anaesthesiologica Belgica

دوره 57 2  شماره 

صفحات  -

تاریخ انتشار 2006