Yadav Aditi, Yadav Raj Kumar, Neyaz Osama, Sherin P P Shabeeba, Gupta Anshini
Department of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, Rishikesh, Dehradun, IND.
Cureus. 2023 Jun 29;15(6):e41124. doi: 10.7759/cureus.41124. eCollection 2023 Jun.
Spinal cord injury (SCI), in addition to motor and sensory problems, may also lead to autonomic dysfunction. Postural orthostatic tachycardia syndrome (POTS) is one of them and has often been reported in traumatic brain injuries, multiple sclerosis, and other spinal cord pathologies. However, there is not much data on POTS in SCI even in extensive databases. We present a case of an adolescent female with paraplegia due to traumatic SCI. During her tilt table training, she started having episodes of sinus tachycardia associated with fatigue, dizziness, headache, palpitations, and presyncope with no orthostatic hypotension, after achieving 60 degrees of head tilt. After ruling out the common causes of tachycardia and syncope, a diagnosis of POTS was established. With pharmacologic and non-pharmacological measures, including metoprolol, increased fluid intake, and compression stockings, her symptoms resolved, and she was able to continue rehabilitation.
脊髓损伤（SCI）除了会导致运动和感觉问题外，还可能引发自主神经功能障碍。体位性直立性心动过速综合征（POTS）就是其中之一，在创伤性脑损伤、多发性硬化症和其他脊髓病变中常有报道。然而，即使在广泛的数据库中，关于脊髓损伤患者中POTS的数据也不多。我们报告一例因创伤性脊髓损伤导致截瘫的青少年女性病例。在她的倾斜台训练过程中，当头部倾斜达到60度后，她开始出现窦性心动过速发作，伴有疲劳、头晕、头痛、心悸和前驱晕厥，但无直立性低血压。在排除心动过速和晕厥的常见原因后，确诊为POTS。通过药物和非药物措施，包括美托洛尔、增加液体摄入量和穿弹力袜，她的症状得到缓解，并能够继续康复治疗。
