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タイトル: | 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 |
その他のタイトル: | A Case of Cerebellar Hemorrhage Secondary to Autonomic Dysreflexia (AD) in a Patient with Cervical Spinal Cord Injury |
著者: | 横溝, 由美子 郷原, 絢子 田中, 克幸 横山, 修 |
著者名の別形: | Yokomizo, Yumiko Goubara, Ayako Tanaka, Katsuyuki Yokoyama, Osamu |
キーワード: | Autonomic dysreflexia Cerebellar hemorrhage |
発行日: | Nov-2010 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 56 |
号: | 11 |
開始ページ: | 659 |
終了ページ: | 661 |
抄録: | The 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. |
著作権等: | 許諾条件により本文は2011-12-01に公開 |
URI: | http://hdl.handle.net/2433/134525 |
PubMed ID: | 21187714 |
出現コレクション: | Vol.56 No.11 |
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