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dc.contributor.author横溝, 由美子ja
dc.contributor.author郷原, 絢子ja
dc.contributor.author田中, 克幸ja
dc.contributor.author横山, 修ja
dc.contributor.alternativeYokomizo, Yumikoen
dc.contributor.alternativeGoubara, Ayakoen
dc.contributor.alternativeTanaka, Katsuyukien
dc.contributor.alternativeYokoyama, Osamuen
dc.date.accessioned2010-12-28T05:58:42Z-
dc.date.available2010-12-28T05:58:42Z-
dc.date.issued2010-11-
dc.identifier.issn0018-1994-
dc.identifier.urihttp://hdl.handle.net/2433/134525-
dc.description.abstractThe patient was a 72-year-old man with C4 incomplete tetraplegia incurred in a traffic accident in March, 2008. He managed his bladder with an indwelling Foley catheter. In August, 2009, the catheter obstruction induced autonomic dysreflexia (AD). Although distention of bladder disappeared immediately, cerebeller hemorrhage occurred due to AD. After an operation the patient was alive but left with disturbance of consciousness. AD is one of the most important complications of high-level spinal cord injury. The pathophysiology of AD is the disconnection of the spinal sympathetic centers from spuraspinal control, leading to unopposed, sustained sympathetic outflow below the spinal lesion. Clinically, it is characterized by an acute increase in blood pressure, headache, sweating, and facial flushing and is often triggered by nonspecific stimuli below the level of the spinal cord lesion. The main triggering factors are bladder overdistension and bowel distension. Most events subside after prompt recognition and removal of the triggering factors, but, it is a life threatening emergency that may lead to apoplexy. This life-threatening complication should be kept in mind in the patients with spinal cord injury.en
dc.format.mimetypeapplication/pdf-
dc.language.isojpn-
dc.publisher泌尿器科紀要刊行会ja
dc.rights許諾条件により本文は2011-12-01に公開ja
dc.subjectAutonomic dysreflexiaen
dc.subjectCerebellar hemorrhageen
dc.subject.ndc494.9-
dc.title自律神経過反射により小脳出血を起こした頸髄損傷者の1例ja
dc.title.alternativeA Case of Cerebellar Hemorrhage Secondary to Autonomic Dysreflexia (AD) in a Patient with Cervical Spinal Cord Injuryen
dc.typedepartmental bulletin paper-
dc.type.niitypeDepartmental Bulletin Paper-
dc.identifier.ncidAN00208315-
dc.identifier.jtitle泌尿器科紀要ja
dc.identifier.volume56-
dc.identifier.issue11-
dc.identifier.spage659-
dc.identifier.epage661-
dc.textversionpublisher-
dc.sortkey12-
dc.address神奈川リハビリテーション病院泌尿器科ja
dc.address神奈川リハビリテーション病院泌尿器科ja
dc.address神奈川リハビリテーション病院泌尿器科ja
dc.address神奈川リハビリテーション病院リハビリテーション科ja
dc.startdate.bitstreamsavailable2011-12-01-
dc.address.alternativeThe Department of Urology, Kanagawa Rehabilitation Hospitalen
dc.address.alternativeThe Department of Urology, Kanagawa Rehabilitation Hospitalen
dc.address.alternativeThe Department of Urology, Kanagawa Rehabilitation Hospitalen
dc.address.alternativeThe Department of Rehabilitation, Kanagawa Rehabilitation Hospitalen
dc.identifier.pmid21187714-
dcterms.accessRightsopen access-
dc.identifier.pissn0018-1994-
dc.identifier.jtitle-alternativeActa urologica Japonicala
dc.identifier.jtitle-alternativeHinyokika Kiyoen
出現コレクション:Vol.56 No.11

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