Top

Published in:

01-10-2015 | Case Report

A walking disaster: a case of incomplete spinal cord injury with symptomatic orthostatic hypotension

Authors: Katharine D. Currie, Andrei V. Krassioukov

Published in: Clinical Autonomic Research | Issue 5/2015

Abstract

Eight months post-injury, an ambulatory 58-year-old male with an incomplete spinal cord injury experienced syncope and a 52-mmHg drop in his systolic blood pressure during a tilt-table assessment. This case study highlights the necessity to examine autonomic function in all cases of spinal cord injury, regardless of injury severity.

Available only for authorised users

Krassioukov A, Eng JJ, Warburton DE, Teasell R, Spinal Cord Injury Rehabilitation Evidence Research T (2009) A systematic review of the management of orthostatic hypotension after spinal cord injury. Arch Phys Med Rehabil 90:876–885. doi:10.1016/j.apmr.2009.01.009 PubMedCentralCrossRefPubMed

Freeman R, Wieling W, Axelrod FB, Benditt DG, Benarroch E, Biaggioni I, Cheshire WP, Chelimsky T, Cortelli P, Gibbons CH, Goldstein DS, Hainsworth R, Hilz MJ, Jacob G, Kaufmann H, Jordan J, Lipsitz LA, Levine BD, Low PA, Mathias C, Raj SR, Robertson D, Sandroni P, Schatz I, Schondorff R, Stewart JM, van Dijk JG (2011) Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome. Clin Auton Res 21:69–72. doi:10.1007/s10286-011-0119-5 CrossRefPubMed

Mills PB, Fung CK, Travlos A, Krassioukov A (2015) Nonpharmacologic management of orthostatic hypotension: a systematic review. Arch Phys Med Rehabil 96(366–375):e366. doi:10.1016/j.apmr.2014.09.028 CrossRef

Berger MJ, Hubli M, Krassioukov AV (2014) Sympathetic skin responses and autonomic dysfunction in spinal cord injury. J Neurotrauma 31:1531–1539. doi:10.1089/neu.2014.3373 CrossRefPubMed

Krassioukov A, Biering-Sorensen F, Donovan W, Kennelly M, Kirshblum S, Krogh K, Alexander MS, Vogel L, Wecht J (2012) International standards to document remaining autonomic function after spinal cord injury. J Spinal Cord Med 35:201–210. doi:10.1179/1079026812Z.00000000053 PubMedCentralCrossRefPubMed

Sidorov EV, Townson AF, Dvorak MF, Kwon BK, Steeves J, Krassioukov A (2008) Orthostatic hypotension in the first month following acute spinal cord injury. Spinal Cord 46:65–69. doi:10.1038/sj.sc.3102064 CrossRefPubMed

Title: A walking disaster: a case of incomplete spinal cord injury with symptomatic orthostatic hypotension
Authors: Katharine D. Currie
Andrei V. Krassioukov
Publication date: 01-10-2015
Publisher: Springer Berlin Heidelberg
Published in: Clinical Autonomic Research / Issue 5/2015
Print ISSN: 0959-9851
Electronic ISSN: 1619-1560
DOI: https://doi.org/10.1007/s10286-015-0309-7

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

A walking disaster: a case of incomplete spinal cord injury with symptomatic orthostatic hypotension

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 5/2015

Orthostatic hypotension is associated with decreased cerebrospinal fluid levels of chromogranin A in early stage of Parkinson disease

In response: looking for a standardized approach in the surgical treatment of hyperhidrosis

Cerebral blood flow during HUTT in young patients with orthostatic intolerance

Sympathotomy for palmar hyperhidrosis: the cutting versus clamping methods

In patient’s with Parkinson disease, autonomic symptoms are frequent and associated with other non-motor symptoms

Changes in heart rate variability after sitting following interscalene block