Spinal cord · 2009
Sacral rhizotomy: a salvage procedure in a patient with autonomic dysreflexia.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Pannek J, Göcking K, Bersch U
Аннотация
STUDY DESIGN: Case report.
OBJECTIVES: To show the feasibility of sacral deafferentation as a salvage procedure to resolve life-threatening autonomic dysreflexia.
SETTING: Paraplegic center in Switzerland.
METHOD AND RESULTS: In a patient presenting with acute autonomic dysreflexia leading to cardiac arrest, sacral deafferentation could prevent further episodes of autonomic dysreflexia.
CONCLUSION: In patients with spinal cord injury, autonomic dysreflexia can be triggered by the bladder even without detrusor overactivity. In these cases, sacral deafferentation may be the only salvage procedure to prevent further serious health problems. Thus, this procedure augments the armamentarium of urologists dealing with patients suffering from spinal cord lesions.
OBJECTIVES: To show the feasibility of sacral deafferentation as a salvage procedure to resolve life-threatening autonomic dysreflexia.
SETTING: Paraplegic center in Switzerland.
METHOD AND RESULTS: In a patient presenting with acute autonomic dysreflexia leading to cardiac arrest, sacral deafferentation could prevent further episodes of autonomic dysreflexia.
CONCLUSION: In patients with spinal cord injury, autonomic dysreflexia can be triggered by the bladder even without detrusor overactivity. In these cases, sacral deafferentation may be the only salvage procedure to prevent further serious health problems. Thus, this procedure augments the armamentarium of urologists dealing with patients suffering from spinal cord lesions.