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Advanced Hip Osteoarthritis Causing Autonomic Dysreflexia and Severe Spasticity in a Patient With Spinal Cord Injury

BICKELHAUPT B; RICHARD M; TRBOVICH M
PM & R , 2017, vol. 9, n° 10, p. 1047-1050
Doc n°: 185157
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.pmrj.2017.02.015
Descripteurs : DE352 - COXARTHROSE, AD32 - SPASTICITE, AE21 - ORIGINE TRAUMATIQUE

The life expectancy of persons with spinal cord injury (SCI) is increasing due to
advances in medicine and technology. As a result, there is a higher incidence of
age-associated illnesses in this population. Degenerative joint disease is a
common age-associated illness that causes pain and thus, in persons with SCI
above the T6 level, can serve as a noxious stimulus to trigger autonomic
dysreflexia (AD). This is a case report of severe bilateral hip osteoarthritis
(OA) causing unyielding AD in a person with tetraplegia leading to bilateral
girdle stone surgeries. Hip OA as an etiology for AD has not previously been
reported and is important to recognize as this population continues to age and to
develop age-associated diseases.
LEVEL OF EVIDENCE: V.
CI - Copyright (c) 2017 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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