Cerebral hemorrhage due to autonomic dysreflexia in a spinal cord injury patient

被引:46
|
作者
Vallès, M [1 ]
Benito, J [1 ]
Portell, E [1 ]
Vidal, J [1 ]
机构
[1] Inst Guttmann, Spinal Cord Injury Unit, Barcelona 08916, Spain
关键词
cerebral hemorrhage; hypertensive encephalopathy; autonomic dysreflexia; spinal cord injury;
D O I
10.1038/sj.sc.3101780
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study design: Case report. Objective: To report an uncommon case of cerebral hemorrhage due to autonomic dysreflexia ( AD) in a spinal cord injury( SCI) patient. Setting: Institut Guttmann, Neurorehabilitation Hospital in Barcelona, Spain. Case report: An SCI patient developed AD due to urinary tract infection after surgery for a pressure sore. The hypertension was difficult to control and the case progressed to hypertensive encephalopathy. MRI of the brain was performed showing a hemorrhagic lesion on the left occipital area. The hypertension was. finally controlled and the neurological status improved although with some cognitive deficits. Conclusion: This is an uncommon case of cerebral hemorrhage due to AD, showing the importance of an adequate diagnosis and treatment of AD to avoid this life- threatening complication.
引用
收藏
页码:738 / 740
页数:3
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