Vallès M, Benito J, Portell E, Vidal J
Spinal Cord Injury Unit, Institut Guttmann, Barcelona, Spain.
Spinal Cord. 2005 Dec;43(12):738-40. doi: 10.1038/sj.sc.3101780.
Case report.
To report an uncommon case of cerebral hemorrhage due to autonomic dysreflexia (AD) in a spinal cord injury (SCI) patient.
Institut Guttmann, Neurorehabilitation Hospital in Barcelona, Spain.
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.
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.
病例报告。
报告一例脊髓损伤（SCI）患者因自主神经反射异常（AD）导致脑出血的罕见病例。
西班牙巴塞罗那古特曼神经康复医院。
一名SCI患者在因压疮手术后因尿路感染发生AD。高血压难以控制，病情发展为高血压脑病。脑部MRI显示左侧枕叶有出血性病变。高血压最终得到控制，神经状态有所改善，尽管仍有一些认知缺陷。
这是一例因AD导致脑出血的罕见病例，表明对AD进行充分诊断和治疗以避免这种危及生命的并发症的重要性。
