An unusual presentation of autonomic dysreflexia in a patient with cold abscess of cervical spine for anterolateral decompression

A young female having complaints of quadriparesis along with bladder and bowel involvement, diagnosed to have osseous destruction of C 4 , C 6 , C 7 , T 2 vertebral bodies with pre- and para-vertebral abscess, was taken up for anterolateral decompression and fusion of cervical spine. She presented w...

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Bibliographic Details
Published in:Indian journal of anaesthesia 2016-12, Vol.60 (12), p.955-957
Main Authors: Sarangi, Susmita, Taneja, Dipali, Saxena, Bhavna
Format: Article
Language:English
Subjects:
Anesthesia
Antihypertensive agents
autonomic dysreflexia
Bladder
Care and treatment
Case Report
Case studies
Conflicts of interest
dexmedetomidine
Diagnosis
Dysreflexia
Hypertension
Intubation
Nervous system
Patients
Postoperative period
quadriparesis
Spinal cord injuries
Surgery
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Summary:A young female having complaints of quadriparesis along with bladder and bowel involvement, diagnosed to have osseous destruction of C 4 , C 6 , C 7 , T 2 vertebral bodies with pre- and para-vertebral abscess, was taken up for anterolateral decompression and fusion of cervical spine. She presented with anxiety, agitation, sweating and headache and was in hypertensive crisis which was refractory to antihypertensives, anxiolytics and analgesics but showed a reasonable response to intravenous dexmedetomidine and finally responded dramatically to rectal evacuation. Autonomic dysreflexia was suspected with stimulus arising from distended rectum as all other causes of hypertension were ruled out.
ISSN:0019-5049
0976-2817
DOI:10.4103/0019-5049.195490