Document Detail

Early autonomic dysreflexia in acute paraplegia following anterior spinal artery thrombosis.
MedLine Citation:
PMID:  17933165     Owner:  NLM     Status:  MEDLINE    
This report discusses the diagnosis and management of autonomic dysreflexia. A 19-year-old man presented with an acute quadriplegia secondary to anterior spinal artery thrombosis. He required admission to the intensive care unit for ventilatory support and developed autonomic dysreflexia within 72 hours of his first symptoms, due to paralytic ileus with distension of the bowel. He was successfully treated by sublingual nifedipine and bowel decompression. Awareness of the potential for autonomic dysreflexia to occur in the acute phase of spinal cord injury will assist to direct management appropriately.
K D Rooney; C McKinstry
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  35     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-15     Completed Date:  2007-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  769-70     Citation Subset:  IM    
Department of Anaesthesia and Intensive Care, Intensive Care Unit, Cheltenham General Hospital, Cheltenham, Gloucestershire, United Kingdom.
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MeSH Terms
Acute Disease
Autonomic Dysreflexia / diagnosis,  etiology*,  therapy
Paraplegia / etiology*
Spinal Cord / blood supply
Spinal Cord Vascular Diseases / complications*
Thrombosis / complications*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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