Category Context units Frequency Percentage * Clinical Aphasia 19 2,1 findings Expressive aphasia 6 0,7 Impressive aphasia 6 0,7 Agitation 19 2,1 Confusion 21 2,3 Slurred speech 5 0,6 Autonomic dysreflexia
4 0,4 Musculoskeletal pain 1 0,1 Spasticity 13 1,4 Stupor 4 0,4 Paralysis 11 1,2 Paresis 18 2,0 Foot drop 9 1,0 Joint contracture 12 1,3 Somnolence 8 0,9 Subtotal 15 156 17,3 * Based on a total of 81 findings.
I have difficulty using FES [functional electrical stimulation] and those kinds of things with autonomic dysreflexia
. So trying to develop ways to get lung power, and I also wanted to play music.
is a potentially life-threatening emergency status in patients with spinal cord injury involving the level of T6-T8 or above.
This edition has new chapters on neurological assessment of spinal injury, clearing the cervical spine, management of concurrent traumatic brain injury and spinal injury, blood pressure and oxygen management, temperature management, fluids and osmotherapy, pharmacology, autonomic dysreflexia
, infection after spinal cord injury, and emerging therapies, and it expands content on critical care and updates guideline recommendations.
Moreover, aside from the cost associated with repeated UDS, potential risks inherent to the test itself, such as autonomic dysreflexia
and severe hypertension, urinary tract infection, hematuria, pain or muscular weakness, should also be taken into consideration.
Although no adverse effects were reported, the literature documents cases of adverse effects, including a case of autonomic dysreflexia
in a man with tetraplegia (Safez, Kesikburun, Omac, Tugcu, & Alaca, 2010) and nine others that included massive gastrointestinal hemorrhage, necrosis and ulceration due to pressure, infection, and even death with use of the Flexi-Seal[R] device (Mulhall & Jindal, 2017).
A less common condition--autonomic dysreflexia
, which is a distinct type of autonomic dysfunction, and a true medical emergency--is also important to keep in mind.
Complications were limited to the following: pressure ulcers; pulmonary complications, including atelectasis and pneumonia; urinary tract infection; deepvein thrombosis; neuropathic pain; pulmonary embolism; orthostatic hypotension; and autonomic dysreflexia
(AD) is a disease that commonly occurs in patients with spinal cord injury (SCI), especially in the cervical and upper thoracic level above T6 [1, 2].
Fausel and Paski reported a case of autonomic dysreflexia
in a patient that led to a seizure following a colonoscopy .
Is your child at risk for autonomic dysreflexia
? Or orthostatic hypotension?
These include orthostatic hypotension, autonomic dysreflexia
(a medical emergency), pressure ulcers, hypercalciurea, infections) and cancer5-9.