Autonomic dysreflexia and posterior reversible encephalopathy syndrome
Autonomic dysreflexia is a syndrome of massive imbalanced reflex sympathetic discharge in patients who had a spinal cord injury above the splanchnic sympathetic outflow resulting in a sudden increase in blood pressure. Posterior reversible encephalopathy syndrome (PRES) refers to a clinicoradiologic...
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| Veröffentlicht in: | American journal of physical medicine & rehabilitation 2013-05, Vol.92 (5), p.453-458 |
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| container_title | American journal of physical medicine & rehabilitation |
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| creator | Matias, Ana Catarina Rocha, João Cerqueira, Maria Emília Pereira, João Manuel |
| description | Autonomic dysreflexia is a syndrome of massive imbalanced reflex sympathetic discharge in patients who had a spinal cord injury above the splanchnic sympathetic outflow resulting in a sudden increase in blood pressure. Posterior reversible encephalopathy syndrome (PRES) refers to a clinicoradiologic entity characterized by headache, consciousness impairment, visual disturbances, seizures, and posterior transient changes on neuroimaging (cerebral vasogenic edema). Hypertension is a common cause of PRES. The authors describe two case reports of patients with tetraplegia who developed PRES after an autonomic dysreflexia episode. One of them had recurrence of PRES in a similar clinical context. The authors discuss further aspects of PRES and its recurrence, which seems to be unusual particularly after autonomic dysreflexia. |
| doi_str_mv | 10.1097/PHM.0b013e3182744889 |
| format | Article |
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Posterior reversible encephalopathy syndrome (PRES) refers to a clinicoradiologic entity characterized by headache, consciousness impairment, visual disturbances, seizures, and posterior transient changes on neuroimaging (cerebral vasogenic edema). Hypertension is a common cause of PRES. The authors describe two case reports of patients with tetraplegia who developed PRES after an autonomic dysreflexia episode. One of them had recurrence of PRES in a similar clinical context. 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The authors discuss further aspects of PRES and its recurrence, which seems to be unusual particularly after autonomic dysreflexia.</description><subject>Accidents, Traffic</subject><subject>Adult</subject><subject>Autonomic Dysreflexia - diagnosis</subject><subject>Autonomic Dysreflexia - etiology</subject><subject>Autonomic Dysreflexia - therapy</subject><subject>Combined Modality Therapy</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Magnetic Resonance Angiography - methods</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Posterior Leukoencephalopathy Syndrome - diagnosis</subject><subject>Posterior Leukoencephalopathy Syndrome - etiology</subject><subject>Posterior Leukoencephalopathy Syndrome - therapy</subject><subject>Quadriplegia - complications</subject><subject>Quadriplegia - diagnosis</subject><subject>Quadriplegia - rehabilitation</subject><subject>Recurrence</subject><subject>Risk Assessment</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - diagnosis</subject><subject>Spinal Cord Injuries - rehabilitation</subject><subject>Treatment Outcome</subject><issn>0894-9115</issn><issn>1537-7385</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkDFPwzAQhS0EoqXwDxDKyJJyFzvYHquKUqQiGGCOnPiiBiVxsBNE_z2pWhgYTre89-7dx9g1whxBy7vX9fMcckBOHFUihVBKn7ApplzGkqv0lE1BaRFrxHTCLkL4AIBUc3nOJglHlIlMpmy1GHrXuqYqIrsLnsqavisTmdZGnQs9-cr5yNMX-VDlNUXUFtRtTe060293Udi11ruGLtlZaepAV8c9Y--rh7flOt68PD4tF5u44CD7WJgkzUUpuKZxRKI0UkIAY3WbolFQ5mIsiSA1cDC2xFIqQpvnhS0kaD5jt4fczrvPgUKfNVUoqK5NS24IGXKOY9o9l6NUHKSFd2H_Wdb5qjF-lyFke4LZSDD7T3C03RwvDHlD9s_0i4z_ABysbSE</recordid><startdate>201305</startdate><enddate>201305</enddate><creator>Matias, Ana Catarina</creator><creator>Rocha, João</creator><creator>Cerqueira, Maria Emília</creator><creator>Pereira, João Manuel</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201305</creationdate><title>Autonomic dysreflexia and posterior reversible encephalopathy syndrome</title><author>Matias, Ana Catarina ; 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Posterior reversible encephalopathy syndrome (PRES) refers to a clinicoradiologic entity characterized by headache, consciousness impairment, visual disturbances, seizures, and posterior transient changes on neuroimaging (cerebral vasogenic edema). Hypertension is a common cause of PRES. The authors describe two case reports of patients with tetraplegia who developed PRES after an autonomic dysreflexia episode. One of them had recurrence of PRES in a similar clinical context. The authors discuss further aspects of PRES and its recurrence, which seems to be unusual particularly after autonomic dysreflexia.</abstract><cop>United States</cop><pmid>23117272</pmid><doi>10.1097/PHM.0b013e3182744889</doi><tpages>6</tpages></addata></record> |
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| subjects | Accidents, Traffic Adult Autonomic Dysreflexia - diagnosis Autonomic Dysreflexia - etiology Autonomic Dysreflexia - therapy Combined Modality Therapy Follow-Up Studies Humans Injury Severity Score Magnetic Resonance Angiography - methods Magnetic Resonance Imaging - methods Male Middle Aged Posterior Leukoencephalopathy Syndrome - diagnosis Posterior Leukoencephalopathy Syndrome - etiology Posterior Leukoencephalopathy Syndrome - therapy Quadriplegia - complications Quadriplegia - diagnosis Quadriplegia - rehabilitation Recurrence Risk Assessment Spinal Cord Injuries - complications Spinal Cord Injuries - diagnosis Spinal Cord Injuries - rehabilitation Treatment Outcome |
| title | Autonomic dysreflexia and posterior reversible encephalopathy syndrome |
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