Abstract
Study design:
Case report.
Objective:
To report an uncommon case of cerebral hemorrhage due to autonomic dysreflexia (AD) in a spinal cord injury (SCI) patient.
Setting:
Institut Guttmann, Neurorehabilitation Hospital in Barcelona, Spain.
Case report:
An SCI patient developed AD due to urinary tract infection after surgery for a pressure sore. The hypertension was difficult to control and the case progressed to hypertensive encephalopathy. MRI of the brain was performed showing a hemorrhagic lesion on the left occipital area. The hypertension was finally controlled and the neurological status improved although with some cognitive deficits.
Conclusion:
This is an uncommon case of cerebral hemorrhage due to AD, showing the importance of an adequate diagnosis and treatment of AD to avoid this life-threatening complication.
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Vallès, M., Benito, J., Portell, E. et al. Cerebral hemorrhage due to autonomic dysreflexia in a spinal cord injury patient. Spinal Cord 43, 738–740 (2005). https://doi.org/10.1038/sj.sc.3101780
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DOI: https://doi.org/10.1038/sj.sc.3101780
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