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Journals / Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi / 2011 / Cilt: 14 - Sayı: 2

Autonomic Dysreflexia in Spinal Cord Injury

Omurilik Yaralanmasında Otonomik Disrefleksi

Ebru KÖSEOĞLU
Gülçin KARATAŞ KAYMAK
Pages
57–62
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this review clinical symptoms, aetiology, pathophysiology, acutemanagement and prophylaxis of AD are discussed.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Autonomic dysreflexia (AD) is a medical emergency that occurs as a result of uncontrolled sympathetic activity which is usually triggered by a sensory input in spinal cord- injured individuals with lesions at T6 andabove.
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Key Findings & Data:It is characterised by severe paroxysmal hypertension with clinical symptoms like pounding headache,profuse sweating, flushing.
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Conclusion & Impact:In this review clinical symptoms, aetiology, pathophysiology, acutemanagement and prophylaxis of AD are discussed.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Autonomic dysreflexia (AD) is a medical emergency that occurs as a result of uncontrolled sympathetic activity which is usually triggered by a sensory input in spinal cord- injured individuals with lesions at T6 andabove. It is characterised by severe paroxysmal hypertension with clinical symptoms like pounding headache,profuse sweating, flushing. It can be successfully managed with early recognition of the symptoms, reversal oftriggering factors along with prompt administration of pharmacological treatment. However delayed diagnosismay result in stroke, seizures or even death. In this review clinical symptoms, aetiology, pathophysiology, acutemanagement and prophylaxis of AD are discussed.

Özet

Otonomik disrefleksi (OD), yaralanma seviyesi T6 ve üzerinde olan omurilik yaralılarda, genellikle bir duyusaluyaran ile tetiklenen kontrol edilemeyen sempatik aktivite sonucu ortaya çıkan klinik bir tablodur. Zonklayıcıbaş ağrısı, aşırı terleme, flushing gibi klinik semptomlarla birlikte yaşamı tehdit eden değerlere yükselebilenhipertansiyon atakları ile karakterizedir. Semptomların tanınması, tetikleyici faktörlerin hızla ortadan kaldırılmasıve gerektiğinde ilaç uygulamaları ile tedavi edilebilirken, tanıda gecikilirse inme, epileptik nöbet ve hatta ölümile sonuçlanabilir. Bu derlemede OD'nin klinik bulguları, etyolojisi, patofizyolojisi, akut yönetimi ve proflaksisitartışılmıştır.

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Cite This Article

KÖSEOĞLU, E., KAYMAK, G. K. (2011). Autonomic Dysreflexia in Spinal Cord Injury. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, Cilt: 14 - Sayı: 2, 57–62. https://ajindex.com/articles/176334

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References (1)

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