Autonomic dysreflexia associated with Charcot spine following spinal cord injury: a case report and literature review.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Masahiro MoritaAkira Miyauchi

Abstract

We report the case of a 50-year-old man presenting symptoms of autonomic dysreflexia associated with Charcot spine following complete C8 spinal cord injury. After posterior lumbar interbody fusion of L2/3 with simultaneous posterior instrumentation from L1 to L5, the patient recovered from the symptoms of autonomic dysreflexia. Although the patient began to faint when he sat up and transferred after surgery, it began to be resolved by continuous urinary catheterization, setting a limit to activity and prescription of alpha-, beta-stimulants. Within a few weeks after performing these treatment strategies, he could return to active wheelchair life, and no recurrence of any symptoms was noted at the 6-year follow-up. Although there are only a small number of cases with Charcot spine presenting autonomic dysreflexia, surgical stabilization of the affected lesion for patients with this condition should be recommended.

References

Sep 1, 1991·Journal of Spinal Disorders·V J DevlinD S Bradford
Feb 1, 1991·Neurosurgery·M J HarrisonA S Rothman
Jul 1, 1987·Journal of Computer Assisted Tomography·A Kapila, M Lines
May 1, 1993·Spine·J C Pritchard, M F Coscia
Aug 4, 1999·Spinal Cord·A K Karlsson
Nov 18, 2000·American Journal of Physical Medicine & Rehabilitation·L NoreauM T Laramée
Mar 5, 2004·The Journal of Spinal Cord Medicine·Wendy M HelkowskiMichael Boninger
Jun 2, 2005·Spine·Raphaël VialleMichel Guillaumat
Mar 23, 2007·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Katharine ThomasonDaniel Chan
Nov 4, 2008·Journal of Neurosurgery. Spine·Masahiro MoritaMotoki Iwasaki

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Citations

Oct 1, 2013·The Spine Journal : Official Journal of the North American Spine Society·Nikolaus AebliJörg Krebs
Sep 13, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Federico De IureLuca Amendola
Jan 1, 2014·Journal of Medical Case Reports·Gerald My Quan, Peter Wilde
Feb 10, 2018·Spinal Cord Series and Cases·Krishn KhannaBobby Tay
Dec 4, 2019·JBJS Case Connector·Iyooh U DavidsonTimothy A Moore
Nov 11, 2018·Spinal Cord·Ryan SolinskySteven C Kirshblum
Oct 22, 2019·Spinal Cord Series and Cases·Darshan VoraMichael K Rosner
Jan 9, 2021·Therapeutic Advances in Musculoskeletal Disease·Ivan UritsOmar Viswanath
Aug 21, 2020·Spinal Cord Series and Cases·Darshan VoraMichael K Rosner

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