TITLE

Rehabilitation medicine: 1. Autonomic dysreflexia

AUTHOR(S)
Blackmer, Jeff
PUB. DATE
October 2003
SOURCE
CMAJ: Canadian Medical Association Journal;10/28/2003, Vol. 169 Issue 9, p931
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
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 dysreflexia, its common causes (most frequently stimulation of the lower urinary tract) and a recommended approach to treatment. The condition can nearly always be managed successfully, but prompt recognition is essential -- without treatment there may be dire consequences, including death.
ACCESSION #
11105981

 

Related Articles

  • The physiological basis of neurorehabilitation - locomotor training after spinal cord injury. Hubli, Michèle; Dietz, Volker // Journal of NeuroEngineering & Rehabilitation (JNER);2013, Vol. 10 Issue 1, p1 

    Advances in our understanding of the physiological basis of locomotion enable us to optimize the neurorehabilitation of patients with lesions to the central nervous system, such as stroke or spinal cord injury (SCI). It is generally accepted, based on work in animal models, that spinal neuronal...

  • Adult intramedullary mature teratoma of the spinal cord: review of the literature illustrated with an unusual example. Ak, H.; Ulu, M. O.; Sar, M.; Albayram, S.; Aydın, S.; Uzan, M. // Acta Neurochirurgica;Jun2006, Vol. 148 Issue 6, p663 

    Intramedullary mature teratomas particularly in adults are rarely encountered. In this manuscript the authors have reviewed the adult intramedullary lesions of the spinal cord published in the literature that are harbouring the characteristics of a mature teratoma and analysed the results with...

  • Images In Neurology: Spinal Cord Herniation In A Patient With Brown Sequard Syndrome. Santhosh, K.; Kesavadas, C.; Chemmanam, T. // Internet Journal of Neurology;2007, Vol. 7 Issue 1, p11 

    A 44-year-old female patient was alright till two years back when she noticed insidious onset of decreased pain sensation of the whole of right lower limb. She did not have any motor weakness, back ache, bladder symptoms or altered gait at that time. Magnetic resonance imaging (MRI) of the...

  • Neuropathic pain: Conditions that cause pain signaling to go awry. Epstein, Mark // DVM: The Newsmagazine of Veterinary Medicine;Feb2012, Vol. 43 Issue 2, p4S 

    The article focuses on neuropathic pain management in cats. Human medicine has identified a number of quintessentially neuropathic pain syndromes. Syringomyelia, an inherited defect of the central nervous system (CNS) common to Cavalier King Charles Spaniels, is described with classic...

  • What is the true tethered cord syndrome? Shokei Yamada; Daniel Won // Child's Nervous System;Apr2007, Vol. 23 Issue 4, p371 

    AbstractIntroduction??The tethered cord syndrome (TCS) is a stretch-induced functional disorder of the spinal cord with its caudal part anchored by an inelastic structure.Discussion??This article clarifies the reversible lesions that occur in the cord segments above any of the inelastic...

  • Caudal regression syndrome–case report and review of literature. Singh, Santosh Kumar; Singh, Rupa Dalmia; Sharma, Akhilesh // Pediatric Surgery International;Jul2005, Vol. 21 Issue 7, p578 

    Caudal regression syndrome is a rare disorder of distal spinal segments affecting the development of the spinal cord, with attendant sequelae. Intelligence is preserved. The exact etiology is elusive, though maternal diabetes, genetic factors, and hypoperfusion might play roles. Recently, the...

  • Spinal Cord Compression Revealing an Intraosseous Schwannoma. Metoui, Leila; Ajili, Faïda; Maiza, Mouna; Ammar, Mehdi Ben; Gharsallah, Imen; M'sakni, Issam; Louzir, Bassem; Othmani, Salah // Case Reports in Medicine;2013, p1 

    A 68-year-old female presented with inflammatory lumbalgia and cruralgia. Physical examination revealed a lumbar stiffness without neurological deficit. Secondarily, paraplegia and urinary retention appeared. Magnetic resonance imaging showed a vertebral compaction of L3 vertebra with medullar...

  • Spinal cord herniation into pseudomeningocele after traumatic nerve root avulsion: case report and review of the literature. Tanaka, Masato; Ikuma, Hisanori; Nakanishi, Kazuo; Sugimoto, Yoshihisa; Misawa, Haruo; Takigawa, Tomoaki; Ozaki, Toshifumi // European Spine Journal;Sep2008 Supplement 2, Vol. 17, p263 

    We present an extremely rare case of traumatic spinal cord herniation due to a brachial plexus avulsion injury and provide a review of the literature of spinal cord herniation. Spinal cord herniation is an uncommon condition that can occur spontaneously or as a result of surgery or trauma. This...

  • Benign scalp lump as an unusual presentation of extranodal Rosai-Dorfman disease. Min Wei Chen; King, Nicolas K. K.; Selvarajan, Sathiyamoorthy; Low, David C. Y. // Surgical Neurology International;Jan2014, Vol. 5 Issue 1, p500 

    Background: Rosai-Dorfman disease (RDD) is a rare benign histioproliferative disease. It is typically characterized by benign histiocyte proliferation with lymphadenopathy, fever, and leukocytosis and was first described in 1969 by Rosai and Dorfman. Extranodal involvement has been reported in...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics