title: [Subarachnoid hemorrhage due to autonomic dysreflexia: rare consequence of sexual stimulation in a paraplegic].
abstract: Nearly all men with spinal cord injury suffer from neurogenic sexual dysfunction which is often treated with phosphodiesterase-5 (PDE5) inhibitors. We describe a case of subarachnoid hemorrhage due to autonomic dysreflexia (AD) caused by sexual stimulation. Nitrates are frequently used for acute treatment of AD; however, the use of these drugs in combination with PDE5 inhibitors is contraindicated. Therefore, meticulous information from patients and relatives on the risk of AD and possible drug interactions is of vital importance.
authors.affiliation: Neuro-Urologie und Paraplegiologische Klinik, Schweizer Paraplegiker-Zentrum, Nottwil, Schweiz.
authors.forename: E
authors.initials: E
authors.lastname: Galiart
authors.forename: M
authors.initials: M
authors.lastname: Baumberger
authors.forename: J
authors.initials: J
authors.lastname: Pannek
mesh_terms: D000328:Adult; D020211:Autonomic Dysreflexia / Q000139:chemically induced* / Q000175:diagnosis / Q000517:prevention & control*; D007172:Erectile Dysfunction / Q000150:complications / Q000517:prevention & control; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000150:complications* / Q000188:drug therapy; D058986:Phosphodiesterase 5 Inhibitors / Q000009:adverse effects* / Q000627:therapeutic use*; D013345:Subarachnoid Hemorrhage / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy*; D016896:Treatment Outcome; D064804:Urological Agents / Q000009:adverse effects / Q000627:therapeutic use; D014665:Vasodilator Agents / Q000009:adverse effects / Q000627:therapeutic use
chemical_list: D058986:Phosphodiesterase 5 Inhibitors; D064804:Urological Agents; D014665:Vasodilator Agents