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骶骨不全应力性骨折作为体位性自主神经反射障碍的病因:病例报告

Sacral insufficiency stress fracture as etiology of positional autonomic dysreflexia: case report.

作者信息

Beard J P, Wade W H, Barber D B

机构信息

Department of PM&R, UTHSCSA, San Antonio, TX 78284, USA.

出版信息

Paraplegia. 1996 Mar;34(3):173-5. doi: 10.1038/sc.1996.31.

DOI:10.1038/sc.1996.31
PMID:8668359
Abstract

The medical literature is replete with case reports of the syndrome known as autonomic dysreflexia. Although the majority of cases are known to be induced by either bladder or bowel distention. there does exist a small number of cases in which the inciting stimulus is more obscure. In such cases, a comprehensive medical evaluation is necessary to ensure proper identification of the source of irritation and the appropriate medical management of the patient. We present a patient with a heretofore unreported suspected etiology of autonomic dysreflexia, axial loading of a sacral stress fracture.

摘要

医学文献中充斥着被称为自主神经反射异常综合征的病例报告。虽然已知大多数病例是由膀胱或肠道扩张引起的,但确实存在少数病例,其诱发刺激更为隐匿。在这种情况下,需要进行全面的医学评估,以确保正确识别刺激源并对患者进行适当的医疗管理。我们报告了一名患者,其自主神经反射异常的疑似病因迄今尚未报道,即骶骨应力性骨折的轴向负荷。

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引用本文的文献

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Sacral Insufficiency Fractures in Patients with Spinal Cord Injury: A Report of Two Unusual Cases and Review of Literature.脊髓损伤患者的骶骨应力性骨折:两例罕见病例报告及文献综述
J Rehabil Med Clin Commun. 2019 Oct 4;2:1000019. doi: 10.2340/20030711-1000019. eCollection 2019.
2
Management of autonomic dysreflexia associated with Charcot spinal arthropathy in a patient with complete spinal cord injury: Case report and review of the literature.一名完全性脊髓损伤患者合并夏科氏脊柱关节病的自主神经反射异常的管理:病例报告及文献综述
Surg Neurol Int. 2018 May 29;9:113. doi: 10.4103/sni.sni_287_17. eCollection 2018.
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Discovertebral (Andersson) lesion of the Ankylosing Spondylitis, a cause of autonomic dysreflexia in spinal cord injury.
强直性脊柱炎的椎间盘(安德森)病变,脊髓损伤中自主神经反射异常的一个原因。
Spinal Cord Ser Cases. 2016 Jul 7;2:16008. doi: 10.1038/scsandc.2016.8. eCollection 2016.
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Transverse myelitis.横贯性脊髓炎。
Neurol Clin. 2013 Feb;31(1):79-138. doi: 10.1016/j.ncl.2012.09.008.
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Autonomic dysreflexia: a medical emergency.自主神经反射异常:一种医疗急症。
Postgrad Med J. 2005 Apr;81(954):232-5. doi: 10.1136/pgmj.2004.024463.