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Cerebral hemorrhage due to autonomic dysreflexia in a spinal cord injury patient
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VALLES M; BENITO J; PORTELL E; VIDAL J
SPINAL CORD , 2005, vol. 43, n° 12, p. 738-740 Doc n°: 122952 Localisation : Centre de Réadaptation de Lay St Christophe , en ligne Descripteurs : AE21 - ORIGINE TRAUMATIQUE Url : http://www.nature.com/sc/archive/index.html 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. Langue : ANGLAIS |
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