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  4. Autonomic dysreflexia during pregnancy in a woman with spinal cord injury: a case report

Autonomic dysreflexia during pregnancy in a woman with spinal cord injury: a case report

Journal of International Medical Research, 2019 · DOI: 10.1177/0300060519853659 · Published: July 1, 2019

Spinal Cord InjuryNeurologyWomen's Health

Simple Explanation

This case report describes a woman with a spinal cord injury who developed autonomic dysreflexia (AD) during her pregnancy. AD is a condition that can occur in people with spinal cord injuries, leading to symptoms like high blood pressure, headache, and sweating. The woman's AD symptoms increased during pregnancy but resolved after she gave birth, highlighting the importance of monitoring and managing AD in pregnant women with SCI.

Study Duration
Not specified
Participants
A 35-year-old woman with spinal cord injury (SCI)
Evidence Level
Level 4: Case Report

Key Findings

  • 1
    The patient developed new onset autonomic dysreflexia (AD) during pregnancy, characterized by increased need to empty her bladder, facial flushing, palpitation, sweating, and headache.
  • 2
    The intensity and frequency of AD symptoms increased with the progression of the pregnancy.
  • 3
    After delivery via cesarean section, the patient's vital signs normalized, and AD symptoms improved, suggesting a link between pregnancy and AD in this patient.

Research Summary

This case report presents a 35-year-old woman with a spinal cord injury (SCI) who developed autonomic dysreflexia (AD) during pregnancy, which resolved after delivery. The patient, with a T4 AIS-A SCI sustained 20 years prior, experienced increased urinary frequency, incontinence, and headaches before clean intermittent catheterization (CIC). Careful evaluation, management, and education about AD are crucial for pregnant women with SCI to prevent and manage AD symptoms effectively.

Practical Implications

Importance of Monitoring

Close monitoring of pregnant women with SCI for the development or exacerbation of AD is essential.

Education and Training

Education for patients, physicians, and multidisciplinary teams regarding AD symptoms and management strategies is vital.

Individualized Management

Tailoring AD management to the individual patient's needs and triggers can improve outcomes.

Study Limitations

  • 1
    Single case report limits generalizability
  • 2
    Specific to T4 AIS-A spinal cord injury level
  • 3
    Patient-specific factors may influence AD presentation

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