Dysautonomia after Spinal Cord Injury: A Clinical Case
Journal Title: Journal of Case Reports and Studies - Year 2018, Vol 6, Issue 5
Abstract
Spinal cord injury (SCI) causes not only motor and sensory deficits but also autonomic dysfunctions. Sweating disorders are frequent following spinal cord injury, the most common being hyperhidrosis. The following case report describes hyperhidrosis secondary to fecal impaction with intestinal distension and indwelling catheter of progressively larger caliber and how physical and rehabilitation medicine improved the patient's quality of life. Although dysautonomia is a manifestation of the acute phase of spinal cord injury and autonomic dysreflexia is a manifestation of the chronic phase, our patient, in the chronic phase, had dysautonomia with profuse sweating and no dysreflexia, as would have been expected. The absence of significative blood pressure changes allowed the patient to survive without severe sequelae. This case report confirms the importance of treatment of SCI patients in spinal units (as in most of the world) where knowledge of SCI complications allows for easy diagnosis and earlier treatment.
Authors and Affiliations
Andrade MJ
Keywords
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- EP ID EP584909
- DOI 10.15744/2348-9820.6.504
- Views 97
- Downloads 0
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