Cardiac arrest attributable to dysfunction of the autonomic nervous system after traumatic cervical spinal cord injury.
Chin J Traumatol
; 20(2): 118-121, 2017 Apr.
Article
em En
| MEDLINE
| ID: mdl-28330804
ABSTRACT
Bradycardia is the most common form of dysrhythmia developing after disruption of the sympathetic pathway by a spinal cord injury (SCI), and it can have fatal consequences, including cardiac arrest. Here, we report a case of cardiac arrest developing after cervical SCI attributable to sympathetic hypoactivity. A 26-year-old male pedestrian was admitted after a traffic accident. Radiologically, fractures were apparent at the C6-7 bilateral articular facets, and cord contusion with hemorrhage was evident at C4-7. During his stay in ICU, intermittent bradycardia was noted, but the symptoms were not specific. On the 22nd postoperative day, the patient was taken to the computed tomography suite for further evaluation and experienced cardiac arrest during a positional change. After immediate cardiac massage, the patient was resuscitated. We scheduled Holter monitoring, which detected 26 pauses, the longest of which was 17.9 s. The patient underwent cardiac pacemaker insertion. No further cardiac events were noted.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Doenças do Sistema Nervoso Autônomo
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Traumatismos da Medula Espinal
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Parada Cardíaca
Limite:
Adult
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Humans
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Male
Idioma:
En
Revista:
Chin J Traumatol
Assunto da revista:
TRAUMATOLOGIA
Ano de publicação:
2017
Tipo de documento:
Article