Hyperthyroidism as a cause of autonomic dysreflexia.
A 25-yr-old female tetraplegic patient experienced autonomic dysreflexia episodes involving hypertension, headache, facial flushing, and tachycardia. The symptoms were not related to the bladder or bowel. The episodes did not seem to be linked to any mechanical cause. The patient was incidentally diagnosed with hyperthyroidism. Treatment with antithyroid medication resulted in resolution of the autonomic dysreflexia. This case suggests that hyperthyroidism may trigger autonomic dysreflexia in tetraplegic patients.
Chang
Jae Hyeok
JH
Department of Rehabilitation Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Suh-Ku, Busan, Korea.
Han
Ji Eui
JE
Sohn
Hyun Joo
HJ
Shin
Yong Beom
YB
Ko
Hyun-Yoon
HY
D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D013956:Antithyroid Agents / Q000627:therapeutic use; D020211:Autonomic Dysreflexia / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000150:complications* / Q000188:drug therapy; D008713:Methimazole / Q000627:therapeutic use; D011433:Propranolol / Q000627:therapeutic use; D011782:Quadriplegia / Q000150:complications
D000959:Antihypertensive Agents; D013956:Antithyroid Agents; D008713:Methimazole; D011433:Propranolol