Autonomic hyperreflexia in spinal cord injury patient during percutaneous nephrolithotomy for renal stone: a case
C P Chang1, M T Chen, L S Chang
1Department of Surgery, National Yang-Ming Medical College, Veterans General Hospital, Taipei, Taiwan, Republic of China.
Abstract:
Autonomic hyperreflexia or autonomic dysreflexia is a syndrome seen in approximately 85% of all quadriplegic patients and constitutes the only medical emergency related to spinal cord injury. We report on a paraplegic patient with a C5 to C7 spinal cord injury who suffered autonomic hyperreflexia during percutaneous nephrolithotomy for a right renal stone. The reflex-induced hypertension subsided with termination of the operation, and administration of an alpha and beta-adrenergic blocking agent (labelatol hydrochloride). The stone was removed successfully by pyelolithotomy with the patient under general anesthesia 4 days later.
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