scholarly journals Evaluation and Management of Autonomic Dysreflexia and Other Autonomic Dysfunctions: Preventing the Highs and Lows

2021 ◽  
Vol 27 (2) ◽  
pp. 225-290
Author(s):  
Andrei Krassioukov ◽  
Todd A. Linsenmeyer ◽  
Lisa A. Beck ◽  
Stacy Elliott ◽  
Peter Gorman ◽  
...  
Keyword(s):  
Autonomic Dysreflexia ◽  
Autonomic Dysfunctions

Evaluation and Management of Autonomic Dysreflexia and Other Autonomic Dysfunctions: Preventing the Highs and Lows

2021 ◽  
Vol 44 (4) ◽  
pp. 631-683 ◽  
Author(s):  
Andrei Krassioukov ◽  
Todd A. Linsenmeyer ◽  
Lisa A. Beck ◽  
Stacy Elliott ◽  
Peter Gorman ◽  
...  
Keyword(s):  
Autonomic Dysreflexia ◽  
Autonomic Dysfunctions

Spinal cord injury and pregnancy

2021 ◽  
pp. 1753495X2110119
Author(s):  
Katherine Robertson ◽  
Felicity Ashworth
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Respiratory Infections ◽  
Obstetric Care ◽  
Autonomic Dysreflexia ◽  
Existing Problems ◽  
Cord Injury ◽  
Relative Rarity ◽  
Obstetric Population ◽  
Tract Infections

Pregnancy in women with spinal cord injury is considered high risk because it may exacerbate many of their existing problems, including autonomic dysreflexia, spasms, decubitus ulcers, urinary tract infections and respiratory infections. Due to the relative rarity of spinal cord injury in the general obstetric population, clinicians often lack familiarity of these specific problems and the women themselves are usually more experienced in their own management than their obstetric team. However, studies have demonstrated that pregnancy outcomes are generally good with appropriate and experienced obstetric care. In this review, we examine the available literature and provide advice on pre-conception counselling and the antenatal, intrapartum and postnatal management of pregnant women with spinal cord injury.

scholarly journals Autonomic dysreflexia associated with cervical spinal cord gliofibroma: case report

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hiroyuki Mizuno ◽  
Fumiaki Honda ◽  
Hayato Ikota ◽  
Yuhei Yoshimoto
Keyword(s):  
Spinal Cord ◽  
Cervical Spinal Cord ◽  
Spinal Cord Tumor ◽  
Autonomic Dysreflexia ◽  
Tumor Biopsy ◽  
Intramedullary Lesion ◽  
First Case ◽  
Cord Injury ◽  
Paroxysmal Hypertension ◽  
Upper And Lower Extremities

Abstract Background Autonomic dysreflexia (AD) is an abnormal reflex of the autonomic nervous system normally observed in patients with spinal cord injury from the sixth thoracic vertebra and above. AD causes various symptoms including paroxysmal hypertension due to stimulus. Here, we report a case of recurrent AD associated with cervical spinal cord tumor. Case presentation The patient was a 57-year-old man. Magnetic resonance imaging revealed an intramedullary lesion in the C2, C6, and high Th12 levels. During the course of treatment, sudden loss of consciousness occurred together with abnormal paroxysmal hypertension, marked facial sweating, left upward conjugate gaze deviation, ankylosis of both upper and lower extremities, and mydriasis. Seizures repeatedly occurred, with symptoms disappearing after approximately 30 min. AD associated with cervical spinal cord tumor was diagnosed. Histological examination by tumor biopsy confirmed the diagnosis of gliofibroma. Radiotherapy was performed targeting the entire brain and spinal cord. The patient died approximately 3 months after treatment was started. Conclusions AD is rarely associated with spinal cord tumor, and this is the first case associated with cervical spinal cord gliofibroma. AD is important to recognize, since immediate and appropriate response is required.

scholarly journals Clinical Markers May Identify Patients at Risk for Early Parkinson’s Disease Dementia: A Prospective Study

2021 ◽  
Vol 36 ◽  
pp. 153331752110213
Author(s):  
Anamaria Jurcau ◽  
Vharoon Sharma Nunkoo
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Binary Logistic Regression ◽  
Binary Logistic Regression Analysis ◽  
Clinical Markers ◽  
Pearson Coefficient ◽  
Autonomic Dysfunctions ◽  
Patients At Risk ◽  
A Prospective Study ◽  
State Examination

Background: The study aims at identifying features predictive of early onset of dementia in Parkinson’s disease (PD). Methods: 103 non-demented PD patients were evaluated on various scales at baseline and 89 patients at 3-year follow-up. Results: By the end of the study 43.8% of patients developed dementia. The development of dementia was linked to the baseline Mini Mental State Examination score (Pearson coefficient r = .404, p = 0.013), the presence of autonomic dysfunctions (r = −.621, p < 0.001) and insomnia (r = −.526, p = 0.001). A binary logistic regression analysis showed that the development of dementia was correlated strongly with the presence of autonomic dysfunctions (95% CI 2.60 to 52.83, p < 0.001), and insomnia (95% CI 0.60 to 0.95, p = 0.017). Conclusion: Patients with signs of autonomic dysfunction and insomnia are at higher risk for developing dementia and deserve closer monitoring of cognitive symptoms.

Adult-onset autosomal dominant leukodystrophy without early autonomic dysfunctions linked to lamin B1 duplication: a phenotypic variant

2013 ◽  
Vol 260 (8) ◽  
pp. 2124-2129 ◽  
Author(s):  
Ana Potic ◽  
Aleksandra M. Pavlovic ◽  
Graziella Uziel ◽  
Dusko Kozic ◽  
Jelena Ostojic ◽  
...  
Keyword(s):  
Autosomal Dominant ◽  
Adult Onset ◽  
Lamin B1 ◽  
Autonomic Dysfunctions ◽  
Phenotypic Variant

Patterns of recovery of autonomic dysfunctions and neurocognitive deficits in schizophrenics after acute psychotic episodes.

2001 ◽  
Vol 110 (1) ◽  
pp. 142-150 ◽  
Author(s):  
Robert Olbrich ◽  
Peter Kirsch ◽  
Heiderose Pfeiffer ◽  
Lutz Mussgay
Keyword(s):  
Neurocognitive Deficits ◽  
Autonomic Dysfunctions

Autonomic dysfunctions in dementia with Lewy bodies

2003 ◽  
Vol 250 (5) ◽  
pp. 530-533 ◽  
Author(s):  
Yoshihiko Horimoto ◽  
Mitsuhiro Matsumoto ◽  
Hiroyasu Akatsu ◽  
Hiroyuki Ikari ◽  
Kiyohide Kojima ◽  
...  
Keyword(s):  
Dementia With Lewy Bodies ◽  
Lewy Bodies ◽  
Autonomic Dysfunctions

scholarly journals Reduction in Bladder-Related Autonomic Dysreflexia after OnabotulinumtoxinA Treatment in Spinal Cord Injury

2016 ◽  
Vol 33 (18) ◽  
pp. 1651-1657 ◽  
Author(s):  
Renée J. Fougere ◽  
Katharine D. Currie ◽  
Mark K. Nigro ◽  
Lynn Stothers ◽  
Daniel Rapoport ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Autonomic Dysreflexia ◽  
Cord Injury
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