Bradycardia Secondary to Cervical Spinal Cord Injury

Sadaka, Farid; Veremakis, Christopher

doi:10.5772/34637

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…Cardiovascular instability is a common complication in upper thoracic or cervical cord injury. Although cardiac sympathetic innervation originating from T1-T4 is blocked by the injury, parasympathetic fibers innervating the heart through the vagus nerve remain intact, leading to bradycardia and decreased myocardial contractility [13,14]. This patient did not show hypotension, but the heart rate decreased to 30 beats/min.…”

Section: Discussionmentioning

confidence: 84%

An acute spinal epidural hematoma after acupuncture combined with dyspnea, dysarthria, bradycardia and hypothermia—a case report

2024

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Spinal epidural hemorrhage (EDH) after acupuncture is a rare disease and needs to be differentiated from stroke because it presents neurological deficits such as motor weakness. A 48-year-old patient taking anticoagulants developed posterior neck pain and progressive quadriplegia immediately after acupuncture. Upon arrival to the emergency room (ER), he complained of dyspnea, dysarthria, bradycardia, and hypothermia. Diffuse spinal EDH findings on spinal magnetic resonance imaging (MRI) were confirmed, and posterior decompression was performed emergently. The patient is currently recovering. Since dyspnea, dysarthria, bradycardia, and hypothermia complained of by this patient are not common symptoms of spinal cord injury, emergency medicine doctors should be careful not to miss the spinal cord injury through detailed history-taking and additional neurologic exam.

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Section: Discussionmentioning

confidence: 84%

An acute spinal epidural hematoma after acupuncture combined with dyspnea, dysarthria, bradycardia and hypothermia—a case report

2024

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“…Among patients with thoracolumbar injuries, 13%–35% of them develop bradycardia. 3 – 5 Thus, more cranial and motor complete injuries seemed to increase the incidence of bradycardia. The primary mechanism underlying these observations appears to involve the acute autonomic imbalance created by the disruption of sympathetic pathways located in the cervical cord.…”

Section: Introductionmentioning

confidence: 99%

Fatal collapse due to autonomic dysreflexia during manual self-evacuation of bowel in a tetraplegic patient living alone: lessons to learn

Vaidyanathan¹,

Soni²,

Mansour³

et al. 2017

IMCRJ

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BackgroundTo identify areas for improvement, the National Health Service in England mandates the review of case reports of patients who have died, which should be translated into improved care for other patients.Case reportA 49-year-old Caucasian man sustained C-7 tetraplegia in a motorcycle accident in 1992. In 2009, he developed seizures and collapsed in the lavatory on a number of occasions during manual self-evacuation of his bowel. A 24-hour electrocardiogram recording at that time showed sinus rhythm with a maximum heart rate of 97 and a minimum of 39 beats per minute; there were no significant arrhythmias that could have contributed to his episodes of collapse. In 2015, the patient again collapsed while performing manual evacuation of his bowel; on this occasion, he did not suffer a seizure. He was found unresponsive in the bathroom by his daughter, who contacted the emergency services. He recovered consciousness on arrival at the Accident and Emergency Department. A noncontrast computed tomography scan of his head revealed no acute intracranial pathology. In 2016, he suffered a fatal collapse in the lavatory, again while performing manual bowel evacuation. At autopsy, no other significant disease was found that might have caused death, and given the clinical history, the cause of death was recorded as autonomic dysreflexia.ConclusionThere were delays in 1) recognizing that his episodes of collapse in the lavatory were due to autonomic dysreflexia induced by manual bowel evacuation; 2) recommending the prior application of topical 2% lidocaine jelly to prevent or limit autonomic dysreflexia occurring during manual bowel evacuation; and 3) considering alternative bowel management such as stimulant laxatives, transanal irrigation, or colostomy, which could have prevented the occurrence of autonomic dysreflexia caused by manual evacuation.

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Cardiovascular Dysfunction

Ko¹

2019

Management and Rehabilitation of Spinal Cord Injuries

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Bradycardia Secondary to Cervical Spinal Cord Injury

Cited by 4 publications

References 28 publications

An acute spinal epidural hematoma after acupuncture combined with dyspnea, dysarthria, bradycardia and hypothermia—a case report

An acute spinal epidural hematoma after acupuncture combined with dyspnea, dysarthria, bradycardia and hypothermia—a case report

Fatal collapse due to autonomic dysreflexia during manual self-evacuation of bowel in a tetraplegic patient living alone: lessons to learn

Cardiovascular Dysfunction

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