@article{ref1,
title="Paroxysmal hypertension in a C4 spinal cord injury--a case report",
journal="Annals of the Academy of Medicine, Singapore",
year="1995",
author="Chua, K. S. and Kong, K. H. and Tan, E. S.",
volume="24",
number="3",
pages="470-472",
abstract="Hypertension in a patient with acute spinal cord injury is commonly caused by autonomic dysreflexia, which is a syndrome of paroxysmal hypertension associated with headaches, relative bradycardia and vasomotor instability secondary to sympathetic overactivity. Life-threatening complications such as seizures and intracerebral haemorrhage are largely preventable. We report both acute and chronic forms of autonomic dysreflexia due to underlying urinary and faecal impaction in a 33-year-old female with traumatic C4 quadriplegia. She was successfully managed with a combination of physical and pharmacological measures including calcium channel and sympathetic blockers.<p /><p>Language: en</p>",
language="en",
issn="0304-4602",
doi="",
url="http://dx.doi.org/"
}