| Autonomic dysreflexia-like syndrome in a T12 paraplegic during thoracic spine surgery. | |
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MedLine Citation:
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PMID: 20829560 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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A 19-year-old African American man with a T12 spinal cord lesion underwent a T4-L5 thoracolumbar spinal fusion. Intraoperatively, his arterial blood pressure acutely increased from 110/60 to 260/130 mm Hg without a change in heart rate. The patient did not have pheochromocytoma, carcinoid syndrome, or thyroid storm. This presentation differs from autonomic dysreflexia because the spinal cord lesion was well below T6, hypertension was elicited with somatic stimulation above the lesion, and the response required aggressive pharmacologic management. This presentation is consistent with similar cases that support a central autonomic process. |
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Authors:
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Samuel N Blacker; Carlton Q Brown; Nicki S Tarant |
Publication Detail:
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Type: Journal Article Date: 2010-09-09 |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 111 ISSN: 1526-7598 ISO Abbreviation: Anesth. Analg. Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
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Languages: eng Pagination: 1290-2 Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesiology, National Naval Medical Center, Bethesda, Maryland, USA. Samuel.Blacker@gmail.com |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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