Autonomic Dysreflexia-Like Syndrome in a T12 Paraplegic During Thoracic Spine Surgery

Blacker, Samuel N.; Brown, Carlton Q.; Tarant, Nicki S.

doi:10.1213/ane.0b013e3181f334b8

Cited by 5 publications

(1 citation statement)

References 18 publications

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“…Hypertension responses are elicited with somatic stimulation above the lesion, and the response may require aggressive pharmacologic management. [3] Beside full bladder, the other causes of AD are bladder infection, severe constipation, loaded colon, or pressure sores. [4] Nociceptive stimulations from the bladder add to hypertension.…”

Section: Discussionmentioning

confidence: 99%

Bladder distension: An unusual cause of reflux of blood and hemodynamic changes (autonomic dysreflexia) during endovascular coiling

Sharma¹,

Singh²,

Ganjoo

et al. 2011

Journal of Neurosciences in Rural Practice

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Autonomic dysreflexia due to distended bladder is well known. Reflux of blood during endovascular procedure is also a common observation. It happens due to difference in pressure gradient between arterial pressure and that of infusing solution. Generally it happens when the infusion bottle is empty or the pressure in infusion bottles fall. We present an uncommon situation where distended bladder mechanically resulted in reflux of blood into endovascular catheters as well as alteration in hemodynamic parameters. Both settled once the bladder was empty.

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Section: Discussionmentioning

confidence: 99%

Bladder distension: An unusual cause of reflux of blood and hemodynamic changes (autonomic dysreflexia) during endovascular coiling

Sharma¹,

Singh²,

Ganjoo

et al. 2011

Journal of Neurosciences in Rural Practice

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Perioperative Hypertensive Emergencies

Aronson

2014

Curr Hypertens Rep

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The concept of "perioperative hypertensive emergency" must be defined differently from that of ambulatory hypertensive emergency in view of its unique clinical considerations in an atypical setting. It should be noted that moderately high normal blood pressure (BP) values in the perioperative setting often trigger situations requiring immediate treatment in what would otherwise be a "BP-acceptable" non-surgical condition. Commonly recognized circumstances that may result in a perioperative hypertensive emergency include exacerbation of severe mitral insufficiency, hypertension resulting in acute decompensated heart failure, hypertension caused by acute catecholamine excess, rebound hypertension after withdrawal of antihypertensive medications, hypertension resulting in bleeding from vascular surgery suture lines, intracerebral hemorrhage, aortic dissection, hypertension associated with preeclampsia, and hypertension associated with autonomic dysreflexia. In addition, perioperative BP lability has been reported to increase the risk for stroke, acute kidney injury, and 30-day mortality in patients undergoing cardiac surgery.

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