JOURNAL ARTICLE

Cerebral hemorrhage due to autonomic dysreflexia in a spinal cord injury patient

M Vallès, J Benito, E Portell, J Vidal
Spinal Cord 2005, 43 (12): 738-40
16010281

STUDY DESIGN: Case report.

OBJECTIVE: To report an uncommon case of cerebral hemorrhage due to autonomic dysreflexia (AD) in a spinal cord injury (SCI) patient.

SETTING: Institut Guttmann, Neurorehabilitation Hospital in Barcelona, Spain.

CASE REPORT: An SCI patient developed AD due to urinary tract infection after surgery for a pressure sore. The hypertension was difficult to control and the case progressed to hypertensive encephalopathy. MRI of the brain was performed showing a hemorrhagic lesion on the left occipital area. The hypertension was finally controlled and the neurological status improved although with some cognitive deficits.

CONCLUSION: This is an uncommon case of cerebral hemorrhage due to AD, showing the importance of an adequate diagnosis and treatment of AD to avoid this life-threatening complication.

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