Intracerebral hemorrhage secondary to autonomic dysreflexia in a young person with incomplete C8 tetraplegia: A case report
Journal
Archives of Physical Medicine and Rehabilitation
Journal Volume
86
Journal Issue
3
Pages
591-593
Date Issued
2005
Author(s)
Abstract
Intracerebral hemorrhage is an unusual complication of autonomic dysreflexia and can be fatal if massive bleeding occurs with brain herniation. We report the case of a man in his midthirties with incomplete tetraplegia who suffered right putaminal hemorrhage during an episode of autonomic dysreflexia. Prompt recognition and removal of the triggering factors of autonomic dysreflexia quickly brought his blood pressure under control and the patient had a favorable functional outcome after rehabilitation. A review of the literature suggests that the location of hemorrhage in autonomic dysreflexia-induced cases is similar to that in the general population. The most common triggering factors are bladder distension in men and labor induction in women. Hemorrhagic stroke can also occur in patients with incomplete spinal cord injury (SCI) who develop autonomic dysreflexia. The role of sympathetic skin response examination is also discussed. This life-threatening complication should be kept in mind in the case of people with SCI. ? 2005 by American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.
SDGs
Other Subjects
antibiotic agent; adult; antibiotic therapy; article; autonomic dysreflexia; balloon catheter; basal ganglion hemorrhage; blood pressure; brain radiography; case report; cervical spinal cord injury; conservative treatment; electromyography; human; intravenous pyelography; laboratory test; male; neurologic examination; quadriplegia; rehabilitation medicine; treatment outcome; urodynamics
Publisher
W.B. Saunders
Type
journal article