Perioperative autonomic hyperreflexia in high spinal cord lesions: a case report.
We report the case of a 20-year-old man with serious perioperative attacks of autonomic hyperreflexia starting during urological surgery 14 months after a complete C6-C7 spinal cord injury. The intraoperative attacks were controlled by deepening the level of anaesthesia, while the postoperative attacks were treated with emepronium bromide. A brief discussion of the pathophysiology and treatment is given.
D000328:Adult; D000758:Anesthesia; D001342:Autonomic Nervous System Diseases / Q000209:etiology*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D008297:Male; D012021:Reflex, Abnormal / Q000209:etiology*; D013119:Spinal Cord Injuries / Q000150:complications*