Volume : V, Issue : IV, April - 2016

AUTONOMIC DYREFLEXIA IN CASE OF BROWN SEQUERD SYNDROME RESEARCH PAPER

Dr Jaydeep Nandi, Dr Abhishek Chowdhery

Abstract :

 Background: Brown Sequard Syndrome comprises only about 2% of traumatic spinal cord injury. Case characteristics: An adolescent female patient suffered a road traffic accident about one year ago which lead to paralysis and loss of proprioception on right side of the body and loss of pain and temperature sensation on left side of the body. Clinically she appeared to be case of Brown SequardPlusSyndrome (BSPS) or Spinal Hemiparaplegia (ASIA D) which in general has a favorable prognosis of ambulation and independence in ADL. Intervention: Clean Intermittent Catheterization was initiated as part of her bladder management. Outcome: Autonomic Dysreflexia episodes complicated her initial bladder rehab phase but could be controlled after proactive interventions within a short period. Message: Autonomic dysreflexia occurs with a frequency of only 6% in ASIA D tetraplegia compared from 25% in ASIA A tetraplegia. The exact percentage of AD frequency in Brown Sequard Syndrome is not available in literature and most large series do not mention about this cardiovascular complication in BSS patients. Pathophysiological mechanism as well indirect correlation from Exercise Pressor Reflex indicates that cardiovascular regulatory mechanism is only minimally disrupted in BSS patients due to the incompleteness of injury. Hence our case underscores the importance of vigilance about a rare but potentially life threatening complication in BSS patients in the early phase of rehab

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr JAYDEEP NANDI, Dr ABHISHEK CHOWDHERY AUTONOMIC DYREFLEXIA IN CASE OF BROWN SEQUERD SYNDROME RESEARCH PAPER International Journal of Scientific Research, Vol : 5, Issue : 4 APRIL 2016

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