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Acta Anaesthesiol Belg · Jan 2006
Case ReportsAutonomic dysreflexia in a parturient with spinal cord injury.
- S L Osgood and K M Kuczkowski.
- Department of Anesthesiology, University of California San Diego, San Diego, California 92103-8770, USA.
- Acta Anaesthesiol Belg. 2006 Jan 1;57(2):161-2.
AbstractAutonomic dysreflexia (ADR) is a syndrome of imbalanced reflex sympathetic discharge occurring in patients with spinal cord injury (SCI) at or above the level of splanchnic sympathetic outflow (T6). We present the case of a 29 year-old, gravida 3, para 1 Caucasian female at 28 weeks gestation, with a history of T3 SCI secondary to a gunshot wound 9 years prior, who developed ADR during preterm labor and received epidural anesthesia during 6 days of labor followed by spinal anesthesia for cesarean section. Spinal anesthesia may be superior to epidural anesthesia for providing hemodynamic protection against ADR during cesarean section.
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