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KMID : 1001920140550050277
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Journal of Korean Neurosurgical Society
2014 Volume.55 No. 5 p.277 ~ p.279
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Acute Onset of Intracerebral Hemorrhage due to Autonomic Dysreflexia
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Eker Amber
Yigitoglu Pembe Hare
Ipekdal H Ilker
Tosun Aliye
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Abstract
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Autonomic dysreflexia is a clinical emergency syndrome of uncontrolled sympathetic output that can occur in patients who have a history of spinal cord injury. Despite its frequency in spinal cord injury patients, central nervous system complications are very rare. We report a man with traumatic high level incomplete spinal cord injury who suffered hypertensive right thalamic hemorrhage secondary to an episode of autonomic dysreflexia. Prompt recognition and removal of the triggering factor, the suprapubic catheter obstruction which led to hypertensive attack, the patient had a favorable functional outcome after the resorption of the hematoma and effective rehabilitation programme.
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KEYWORD
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Spinal cord injury, Intracerebral hemorrhage, Autonomic dysreflexia, Urinary tract obstruction
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