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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2017; 04(03): 178-180
DOI: 10.4103/jnacc-jnacc-19.17
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

An unusual presentation of autonomic dysreflexia-autonomic dysreflexia due to pneumatic stockings

Ankita Madan
Department of Anaesthesiology and Critical Care, NIMS Medical College and Hospital, Jaipur, Rajasthan, India
,
Saurabh Bhargava
Department of Anaesthesiology and Critical Care, NIMS Medical College and Hospital, Jaipur, Rajasthan, India
,
Meenaxi Sharma
Department of Anaesthesiology and Critical Care, NIMS Medical College and Hospital, Jaipur, Rajasthan, India
,
Karan Marwah
1   Department of Neurosurgery, NIMS Medical College and Hospital, Jaipur, Rajasthan, India
› Author Affiliations
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Publication History

Publication Date:
08 May 2018 (online)

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Abstract

Autonomic dysreflexia is a potentially dangerous clinical emergency associated with spine injury at or above T6 level. Identification of triggering factor and its removal is a very important for the management of this condition. We hereby report a rare presentation of autonomic dysreflexia in a 57-year-old male, a case of D9–L1 arteriovenous malformation (AVM) with prolapsed intervertebral disc L3–L4 who underwent laminectomy from D6 to L4 level followed by excision of the AVM under general anaesthesia. He developed symptoms and signs suggestive of autonomic dysreflexia following application of intermittent compression pneumatic stockings which were reversed after the removal of the stimulus. Application of intermittent compression pneumatic stockings is an unusual cause of autonomic dysreflexia.

Keywords

Autonomic dysreflexia - intermittent compression pneumatic stockings - spinal arteriovenous malformation - spinal surgery
 

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