[Autonomic hyperreflexia, pregnancy and delivery in para-tetraplegia. The obstetric anesthesiologic viewpoint on a case].
Although still rare, pregnancy and delivery in women with spinal cord injuries is becoming more frequent (Table 2). In 85%-90% of patients with lesions above T6 symptoms of autonomic hyperreflexia (Table 1), especially paroxysmal and excessive increases in arterial blood pressure, may occur. In anaesthetising a 31-year-old paraplegic primigravida with a complete transverse spinal lesion at T4 for an elective caesarean section, no indication of hypertonic cardiovascular dysregulation either intra- or postoperatively was observed after repeated epidural administration of bupivacaine. Distinct intraoperative spasticity of the abdominal wall muscles was, however, not influenced by the dosages selected.
Plötz
J
J
Institut für Anaesthesiologie am Klinikum Bamberg.
von Hugo
R
R
D000328:Adult; D000773:Anesthesia, Obstetrical; D001342:Autonomic Nervous System Diseases / Q000150:complications*; D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D010264:Paraplegia / Q000150:complications*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology*; D011782:Quadriplegia / Q000150:complications*; D013119:Spinal Cord Injuries / Q000150:complications
Autonome Hyperreflexie, Schwangerschaft und Entbindung bei Para-/Tetraplegie. Geburtshilflich-anästhesiologische Gesichtspunkte anhand einer Kasuistik.