Open AccessAn unusual presentation of autonomic dysreflexia-autonomic dysreflexia due to pneumatic stockings
Author(s) -
Ankita Madan,
S. Bhargava,
Meenaxi Sharma,
Karan Marwah
Publication year - 2017
Publication title -
journal of neuroanaesthesiology and critical care
Language(s) - English
Resource type - Journals
eISSN - 2348-926X
pISSN - 2348-0548
DOI - 10.4103/jnacc.jnacc_19_17
Subject(s) - autonomic dysreflexia , medicine , presentation (obstetrics) , autonomic function , anesthesia , physical medicine and rehabilitation , spinal cord injury , surgery , blood pressure , heart rate , spinal cord , heart rate variability , psychiatry
Autonomic dysreflexia is a potentially dangerous clinical emergency associated with spine injury at or above T6 level. Identification of triggering factor and its removal is a very important for the management of this condition. We hereby report a rare presentation of autonomic dysreflexia in a 57-year-old male, a case of D9–L1 arteriovenous malformation (AVM) with prolapsed intervertebral disc L3–L4 who underwent laminectomy from D6 to L4 level followed by excision of the AVM under general anaesthesia. He developed symptoms and signs suggestive of autonomic dysreflexia following application of intermittent compression pneumatic stockings which were reversed after the removal of the stimulus. Application of intermittent compression pneumatic stockings is an unusual cause of autonomic dysreflexia