Autonomic hyperreflexia in spinal cord injury patient during percutaneous nephrolithotomy for renal stone: a case report.
Autonomic hyperreflexia or autonomic dysreflexia is a syndrome seen in approximately 85% of all quadriplegic patients and constitutes the only medical emergency related to spinal cord injury. We report on a paraplegic patient with a C5 to C7 spinal cord injury who suffered autonomic hyperreflexia during percutaneous nephrolithotomy for a right renal stone. The reflex-induced hypertension subsided with termination of the operation, and administration of an alpha and beta-adrenergic blocking agent (labelatol hydrochloride). The stone was removed successfully by pyelolithotomy with the patient under general anesthesia 4 days later.
Chang
C P
CP
Department of Surgery, National Yang-Ming Medical College, Veterans General Hospital, Taipei, Taiwan, Republic of China.
Chen
M T
MT
Chang
L S
LS
D000328:Adult; D001342:Autonomic Nervous System Diseases / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D006973:Hypertension / Q000209:etiology; D007669:Kidney Calculi / Q000150:complications / Q000628:therapy*; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects*; D012021:Reflex, Abnormal; D013119:Spinal Cord Injuries / Q000150:complications*