PMID- 19139757
OWN - NLM
STAT- MEDLINE
DCOM- 20090708
LR  - 20110606
IS  - 1362-4393 (Print)
IS  - 1362-4393 (Linking)
VI  - 47
IP  - 5
DP  - 2009 May
TI  - Autonomic dysreflexia and associated acute neurogenic pulmonary edema in a 
      patient with spinal cord injury: a case report and review of the literature.
PG  - 423-5
LID - 10.1038/sc.2008.152 [doi]
AB  - STUDY DESIGN: A case report of a patient with spinal cord injury with autonomic 
      dysreflexia and associated acute neurogenic pulmonary edema. OBJECTIVE: To 
      further describe autonomic dysreflexia as a potential cause of acute neurogenic 
      pulmonary edema; specifically in a population with spinal cord injury. SETTING: 
      James A Haley Veterans Hospital, Tampa, FL, USA. METHODS: A patient with a prior 
      history of C5 AIS (ASIA impairment scale) B spinal cord injury was admitted for 
      bowel preparation before a screening colonoscopy. During the 2-day bowel 
      preparation, the patient developed severe autonomic dysreflexia. Due to 
      persistent hypertension and acute onset respiratory failure, he required transfer 
      to the intensive care setting. RESULTS: Following a complicated course, the 
      patient expired without a definitive cause of death. Autopsy findings showed 
      gross and microscopic evidence of pulmonary edema. CONCLUSIONS: To date, the 
      association between autonomic dysreflexia and acute neurogenic pulmonary edema is 
      not described in the spinal cord or rehabilitation literature. The purpose of 
      this case report is to further describe the overlooked and/or under reported 
      incidence of acute neurogenic pulmonary edema associated with episodes of 
      dysreflexia in a population with spinal cord injury.
FAU - Calder, K B
AU  - Calder KB
AD  - Department of Pathology, University of South Florida College of Medicine, Tampa, 
      FL 33604, USA. kcalder@hsc.usf.edu
FAU - Estores, I M
AU  - Estores IM
FAU - Krassioukov, A
AU  - Krassioukov A
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20090113
PL  - England
TA  - Spinal Cord
JT  - Spinal cord
JID - 9609749
SB  - IM
MH  - Autonomic Dysreflexia/*complications/etiology/*physiopathology
MH  - Autopsy
MH  - Fatal Outcome
MH  - Humans
MH  - Hypertension/etiology/physiopathology
MH  - Male
MH  - Middle Aged
MH  - Pulmonary Edema/*complications/etiology/pathology/physiopathology
MH  - Respiratory Insufficiency/etiology/physiopathology
MH  - Spinal Cord Injuries/*complications/pathology/*physiopathology
EDAT- 2009/01/14 09:00
MHDA- 2009/07/09 09:00
CRDT- 2009/01/14 09:00
PHST- 2009/01/14 09:00 [entrez]
PHST- 2009/01/14 09:00 [pubmed]
PHST- 2009/07/09 09:00 [medline]
AID - sc2008152 [pii]
AID - 10.1038/sc.2008.152 [doi]
PST - ppublish
SO  - Spinal Cord. 2009 May;47(5):423-5. doi: 10.1038/sc.2008.152. Epub 2009 Jan 13.