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Perioperative autonomic hyperreflexia in high spinal cord lesions: a case report
Authors:J. C. Ræ  eder,M.D. S. E. Gisvold
Affiliation:Department of Anaesthesia, Regional Hospital of Trondheim, Trondheim, Norway
Abstract:We report the case of a 20-year-old man with serious perioperative attacks of autonomic hyperreflexia starting during urological surgery 14 months after a complete C6-C7 spinal cord injury. The intraoperative attacks were controlled by deepening the level of anaesthesia, while the postoperative attacks were treated with emepronium bromide. A brief discussion of the pathophysiology and treatment is given.
Keywords:Anesthesia    general    spinal    autonomic hyperreflexia    emepronium bromide    spinal cord injury
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