Spinal cord series and cases
-
Spinal Cord Ser Cases · Jan 2016
Erratum for Spinal Cord Series and Cases content published prior to July 2016.
[This corrects the article DOI: 10.1038/scsandc.2015.1.][This corrects the article DOI: 10.1038/scsandc.2015.3.][This corrects the article DOI: 10.1038/scsandc.2015.5.][This corrects the article DOI: 10.1038/scsandc.2015.6.][This corrects the article DOI: 10.1038/scsandc.2015.7.][This corrects the article DOI: 10.1038/scsandc.2015.8.][This corrects the article DOI: 10.1038/scsandc.2015.9.][This corrects the article DOI: 10.1038/scsandc.2015.10.][This corrects the article DOI: 10.1038/scsandc.2015.12.][This corrects the article DOI: 10.1038/scsandc.2015.13.][This corrects the article DOI: 10.1038/scsandc.2015.14.][This corrects the article DOI: 10.1038/scsandc.2015.15.][This corrects the article DOI: 10.1038/scsandc.2015.16.][This corrects the article DOI: 10.1038/scsandc.2015.17.][This corrects the article DOI: 10.1038/scsandc.2015.18.][This corrects the article DOI: 10.1038/scsandc.2015.19.][This corrects the article DOI: 10.1038/scsandc.2015.20.][This corrects the article DOI: 10.1038/scsandc.2015.21.][This corrects the article DOI: 10.1038/scsandc.2015.22.][This corrects the article DOI: 10.1038/scsandc.2015.23.][This corrects the article DOI: 10.1038/scsandc.2015.24.][This corrects the article DOI: 10.1038/scsandc.2015.25.][This corrects the article DOI: 10.1038/scsandc.2015.26.][This corrects the article DOI: 10.1038/scsandc.2015.27.][This corrects the article DOI: 10.1038/scsandc.2015.28.][This corrects the article DOI: 10.1038/scsandc.2015.29.][This corrects the article DOI: 10.1038/scsandc.2015.30.][This corrects the article DOI: 10.1038/scsandc.2015.31.][This corrects the article DOI: 10.1038/scsandc.2015.32.][This corrects the article DOI: 10.1038/scsandc.2015.33.][This corrects the article DOI: 10.1038/scsandc.2015.34.][This corrects the article DOI: 10.1038/scsandc.2015.35.][This corrects the article DOI: 10.1038/scsandc.2015.36.][This corrects the article DOI: 10.1038/scsandc.2015.37.][This corrects the article DOI: 10.1038/scsandc.2015.38.][This corrects the article DOI: 10.1038/scsandc.2015.39.][This corrects the article DOI: 10.1038/scsandc.2015.40.][This corrects the article DOI: 10.1038/scsandc.2015.41.][This corrects the article DOI: 10.1038/scsandc.2015.42.].
-
Spinal Cord Ser Cases · Jan 2016
Spinal fusion and antibiotic treatment illustrating lumbar osteomyelitis and spinal instability as a previously unrecognized and surgically treatable cause of autonomic dysreflexia.
Autonomic dysreflexia (AD) following spinal cord injury can lead to a physiologic state where there is unopposed sympathetic tone and subsequent hypertension, bradycardia, hyperhidrosis and anxiety. It is known to be triggered by nociceptive stimuli below the level of injury-most commonly constipation and bladder retention. We present a case of a C6-7 tetraplegic who developed AD 20 years after his injury with the unusual trigger of positional spinal instability due to osteomyelitis and discitis. ⋯ This instability in the vertebral column led to positional AD with symptom onset in extension (lying supine) and relieved with flexion (patient sitting up and bending forward). Once the trigger for his AD was determined, he was successfully treated with spinal fusion to stabilize the mobile segment and further antibiotic treatment. He had complete resolution of his AD after surgery and eradication of his infection.