Sacral rhizotomy: a salvage procedure in a patient with autonomic dysreflexia

Pannek, Jürgen; Göcking, K; Bersch, Ulf

doi:10.1038/sc.2009.120

Cited by 4 publications

(4 citation statements)

References 5 publications

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“…AD is most commonly reported in physical medicine and rehabilitation literature regarding the care for patients in the chronic stage of SCIs [1,[4][5][6][8][9][10]. In the more chronic cases, the onset of AD is attributable to a particular stimulation-urinary catheterization [4], bowel stimulation [11], decubitus ulcer dressing changes [12].…”

Section: Discussionmentioning

confidence: 99%

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Autonomic dysreflexia caused by cervical stenosis

Khanna

Theologis

Tay

2017

Spinal Cord Ser Cases

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We hypothesize that the cervical compression caused a disruption in the regulatory control of the sympathetic preganglionic neurons resulting in the autonomic symptoms. Although numerous studies exist of patients with a traumatic onset of AD, to the best of our knowledge, this is the first case report in the literature of autonomic symptoms that stemmed from cervical stenosis. The purpose of this case report is to alert clinicians to a potential association between AD and spinal stenosis, which may exist outside the realm of SCI.

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Section: Discussionmentioning

confidence: 99%

“…The majority of treatment options rely primarily on prevention of this sympathetic dysregulation. Refractory cases have been treated by sacral deafferentation to eliminate sensory stimuli [8]. There has been greater attention recently to AD in the acute phase of a SCI [6].…”

Section: Discussionmentioning

confidence: 99%

Autonomic dysreflexia caused by cervical stenosis

Khanna

Theologis

Tay

2017

Spinal Cord Ser Cases

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“…Although moderately invasive, the procedure has been shown to eliminate AD secondary to detrusor hyperreflexia [43]. Additionally, a recent case reported the elimination of AD after sacral denervation in neurogenic bladder without detrusor overactivity [44].…”

Section: Alternative Treatments For Admentioning

confidence: 98%

Prevention of recurrent autonomic dysreflexia: a survey of current practice

2015

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“…This strategy, also known as sacral deafferentation, eliminates the conduction of sensory impulses to the spinal cord. 84 …”

Section: Management Of Autonomic Dysreflexiamentioning

confidence: 99%

Autonomic Dysreflexia following Spinal Cord Injury

Balik¹,

Šulla

2022

Asian J Neurosurg

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Autonomic dysreflexia (AD) is a potentially life-threatening condition of the autonomic nervous system following spinal cord injury at or above T6. One of the most common symptoms is a sudden increase in blood pressure induced by afferent sensory stimulation owing to unmodulated reflex sympathetic hyperactivity. Such episodes of high blood pressure might be associated with a high risk of cerebral or retinal hemorrhage, seizures, heart failure, or pulmonary edema. In-depth knowledge is, therefore, crucial for the proper management of the AD, especially for spine surgeons, who encounter these patients quite often in their clinical practice. Systematical review of the literature dealing with strategies to prevent and manage this challenging condition was done by two independent reviewers. Studies that failed to assess primary (prevention, treatment strategies and management) and secondary outcomes (clinical symptomatology, presentation) were excluded. A bibliographical search revealed 85 eligible studies that provide a variety of preventive and treatment measures for the subjects affected by AD. As these measures are predominantly based on noncontrolled trials, long-term prospectively controlled multicenter studies are warranted to validate these preventive and therapeutic proposals.

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Sacral rhizotomy: a salvage procedure in a patient with autonomic dysreflexia

Cited by 4 publications

References 5 publications

Autonomic dysreflexia caused by cervical stenosis

Autonomic dysreflexia caused by cervical stenosis

Prevention of recurrent autonomic dysreflexia: a survey of current practice

Autonomic Dysreflexia following Spinal Cord Injury

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