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Korean J Anesthesiol > Volume 33(4); 1997 > Article
Korean Journal of Anesthesiology 1997;33(4):770-773.
DOI: https://doi.org/10.4097/kjae.1997.33.4.770   
The Effect of Subarachnoid Block in Hyperreflexic Neurogenic Bladder.
Jong In Han, Ja Kyoung Lee, Rack Kyung Chung, Guie Yong Lee, Choon Hi Lee, Chung Gi Lee
Abstract
Spinal reflex activity that remains after insult to the spinal cord brings with it significant functional impairment. Our patient had suffered from general spasticity and hyperreflexic neurogenic bladder caused by sixth cervical cord injury. Unfortunately, the use of oral medication (baclofen) was limited by an inadequate effect. So we performed two times of subarachnoid block with 0.5% heavy bupivacaine, the patient experienced improvement in bladder and sphincter function. We concluded that subarachnoid block with 0.5% heavy bupivacaine is an effective and safe modality for spasticity control in patients who are refractory to oral medication before neurolytic block.
Key Words: Anesthetic Techniques, spinal; Spinal Cord, injury, Hyperreflexic neurogenic bladder


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