Barman Apurba, Sinha Mithilesh K, Rao P Bhaskar
Department of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences , Bhubaneswar, Odisha, India.
Spinal Cord Ser Cases. 2016 Jul 7;2:16008. doi: 10.1038/scsandc.2016.8. eCollection 2016.
Autonomic dysreflexia is a medical emergency in spinal cord injury. Majority of cases of autonomic dysreflexia are known to be induced by either bladder or bowel distension. Very few cases of recurrent postural autonomic dysreflexia, due to secondary spinal pathology, have been reported. Discovertebral or Andersson lesion, a recognized complication in Ankylosing Spondylitis, can give rise to similar kind of recurrent postural dysreflexic symptoms. Here, we report a case of Ankylosing Spondylitis with high level, complete spinal cord injury, where the patient was developing recurrent postural autonomic dysreflexia and its successful management. Andersson lesion in the lumbar spine below the level of injury was demonstrated in this case report.
自主神经反射异常是脊髓损伤中的一种医疗急症。已知大多数自主神经反射异常病例是由膀胱或肠道扩张引起的。由于继发性脊柱病变导致复发性姿势性自主神经反射异常的病例报告极少。椎体间或安德森病变是强直性脊柱炎中一种公认的并发症，可引发类似的复发性姿势性反射异常症状。在此，我们报告一例高位完全性脊髓损伤的强直性脊柱炎患者，该患者出现复发性姿势性自主神经反射异常及其成功治疗情况。本病例报告显示损伤平面以下腰椎存在安德森病变。
