Autonomic dysreflexia-induced reversible posterior leukoencephalopathy syndrome in patients with spinal cord injury: Two case reports. (1st May 2013)

• Record Type: Journal Article
• Authors: Joa, Kyung-Lim; Shin, Yong-Il; Suh, Huy; Kim, Soo-Yeon; Chang, Jae Hyeok; Ko, Hyun-Yoon
• Is Part Of: Journal of spinal cord medicine. Volume 36:Number 3(2013:May)
• Page Start: 250
• Page End: 253
• Publication Date: 2013-05-01
• Subjects: Spinal cord -- Wounds and injuries -- Periodicals; Spinal cord -- Diseases -- Periodicals; 616.8305
• DOI: 10.1179/2045772312Y.0000000075
• Languages: English
• ISSNs: 1079-0268

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <p> <bold>Background/objectives:</bold> </p> <p>To report two cases of reversible posterior leukoencephalopathy syndrome (RPLS) in patients with traumatic cervical spinal cord injury.</p> <p> <bold>Design:</bold> </p> <p>Case report.</p> <p> <bold>Setting:</bold> </p> <p>Rehabilitation Inpatient Unit, Pusan National University Hospital, Yangsan-si, Korea.</p> <p> <bold>Results:</bold> </p> <p>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.</p> <p> <bold>Conclusion:</bold> </p> <p>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.</p> </abstract>