TY  - JOUR
PY  - 1995//
TI  - Paroxysmal hypertension in a C4 spinal cord injury--a case report
JO  - Annals of the Academy of Medicine, Singapore
A1  - Chua, K. S.
A1  - Kong, K. H.
A1  - Tan, E. S.
SP  - 470
EP  - 472
VL  - 24
IS  - 3
N2  - 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>
LA  - en
SN  - 0304-4602
UR  - http://dx.doi.org/
ID  - ref1
ER  -