| Control of Hypertension with Intravenous Sodium Nitroprusside in Autonomic Hyperreflexia occurred during during General Anesthesia in a Patient with Spinal Cord Injury - A case report. |
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Yong Seok Oh, Chung Su Kim, Gyu Jeong Noh, Jae Hyun Park, Sung Ryang Chung |
1Neuroanesthesia, Department of Anesthesiology, Seoul National University Hosptial, Seoul, Korea.
2Neuroanesthesia, Department of Anesthesiology, Dong-guk University, Pohang Hospital, Korea. |
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| Abstract |
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Autonomic hyperreflexia is a syndrome of massive reflex sympathetic discharge that occurs in patients with chronic spinal cord lesions above the major sympathetic splanchnic outflow (T 4 -T6). We experienced autonomic hyperreflexia that occured in a patient with spinal cord trans-section at T5 level during general anesthesia with O2-N2O-halothane.
Hypertension was controlled with intravenous infusion of sodium nitroprusside (1-2 ug/kg/min) and ventricular arrhythmia was treated with intra- venous lidocaine. We recommend that direct acting vasodilators are useful drugs to control hypertension in autonomic hyperreflexia during anesthesia in patients with chronic spinal cord injury. |
| Key Words:
Chronic spinal cord injury; Autonomic hyperreflexia; Complication; Sodium nitroprus-side; Vasodilator; Treatment |
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