[Autonomous hyperreflexia and labor]
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P H Nielsen1, J Brushøj, A Fernandes
1Rigshospitalet, København, anaestesiafdelingen AN.
Autonomic hyperreflexia is a serious complication for tetraplegic patients, especially during labour and delivery. The symptoms are piloerection, facial flushing, anxiety, headache, serious blood pressure crises and cerebrovascular accidents. A 30 year-old woman who was tetraplegic following a high cervical spinal cord lesion, showed signs of autonomic hyperreflexia. In early labour epidural analgesia was established and the vaginal delivery was successful without associated fluctuation of the blood pressure or other signs of autonomic hyperreflexia.
Autonomic hyperreflexia is a serious complication for tetraplegic patients, especially during labour and delivery. The symptoms are piloerection, facial flushing, anxiety, headache, serious blood pressure crises and cerebrovascular accidents. A 30 year-old woman who was tetraplegic following a high cervical spinal cord lesion, showed signs of autonomic hyperreflexia. In early labour epidural analgesia was established and the vaginal delivery was successful without associated fluctuation of the blood pressure or other signs of autonomic hyperreflexia.