Autonomic dysreflexia-induced reversible posterior leukoencephalopathy syndrome in patients with spinal cord injury: Two case reports

作者：Joa Kyung Lim; Shin Yong Il^*; Suh Huy; Kim Soo Yeon; Chang Jae Hyeok; Ko Hyun Yoon

来源：Journal of Spinal Cord Medicine, 2013, 36(3): 250-253.

DOI：10.1179/2045772312Y.0000000075

• Autonomic dysreflexia
• Reversible posterior leukoencephalopathy syndrome
• Spinal cord injuries
• Spasticity
• Tetraplegia
• Bladder distension
• Antihypertensives
• Nifedipine
• Nitroglycerin

Background/objectives: To report two cases of reversible posterior leukoencephalopathy syndrome (RPLS) in patients with traumatic cervical spinal cord injury. %26lt;br%26gt;Design: Case report. %26lt;br%26gt;Setting: Rehabilitation Inpatient Unit, Pusan National University Hospital, Yangsan-si, Korea. %26lt;br%26gt;Results: Two men with spastic tetraplegia developed autonomic dysreflexia. Use of antihypertensive medication and Foley catheter insertion prevented further episodes of acute arterial hypertension and development of new symptoms. %26lt;br%26gt;Conclusion: RPLS can occur in the setting of autonomic dysreflexia in patients with traumatic cervical cord injury. The prompt recognition of this syndrome is of importance to prevent further morbidity and mortality in patients with spinal cord injury.

• 出版日期2013-5