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Perioperative autonomic hyperreflexia in high spinal cord lesions: a case report
Author(s) -
Ræeder J. C.,
Gisvold S. E.
Publication year - 1986
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1986.tb02499.x
Subject(s) - medicine , hyperreflexia , perioperative , anesthesia , spinal cord , spinal cord injury , pathophysiology , surgery , psychiatry
We report the case of a 20‐year‐old man with serious perioperative attacks of autonomic hyperreflexia starting during urological surgery 14 months after a complete C 6 ‐C 7 spinal cord injury. The intraoperative attacks were controlled by deepening the level of anaesthesia, while the postoperative attacks were treated with emepronium bromide. A brief discussion of the pathophysiology and treatment is given.