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Turkish Journal of Physical Medicine and Rehabilitation 2004 , Vol 50 , Num 4

Omurilik Yaralı Bir Hastada Üreteral Taşa Bağlı Tekrarlayan Otonomik Disrefleksi Atakları

Bilge Yılmaz 1 ,Rıdvan Alaca 2 ,Osman Tüfekçi 3 ,Şükrü Gündüz 4
1 Gülhane Askeri Tıp Akademisi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Türk Silahlı Kuvvetleri Rehabilitasyon Merkezi, Ankara, Türkiye
2 Gülhane Askeri Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Türk Silahlı Kuvvetleri Rehabilitasyon Merkezi, Ankara, Türkiye
3 Türk Silahlı Kuvvetleri Rehabilitasyon Merkezi, Gülhane Askeri Tıp Akademisi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara
4 Gülhane Askeri Tıp AKademisi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara

Autonomic dysreflexia is a lethal syndrome seen in patients with spinal cord injury and needs urgent treatment. It is the extreme reaction of sympathetic nervous system to any noxious stimuli below the neurologic level in spinal cord injured patients with T6 or upper neurological level. The characteristic findings of this disorder include hypertension, headache, excessive sweating, flushing and pyloerection. Noxious stimuli are mostly originated from the urinary tract. The main therapeutic approach is to remove the triggering factors. In this article, a case with recurrent autonomic dysreflexia attacks due to renal calculus was presented.

 Keywords : Spinal cord injury, autonomic dysreflexia, ureteral calculus