Effect of Alpha-1-Adrenergic Agonist, Midodrine for the Management of Long-Standing Neurogenic Shock in Patient with Cervical Spinal Cord Injury: A Case Report / 대한신경손상학회지
Korean Journal of Neurotrauma
;
: 147-150, 2015.
Article
in English
| WPRIM
| ID: wpr-205816
ABSTRACT
We report a rare case of a 71-year-old male patient who had suffered from long-lasting neurogenic shock for 13 weeks after cervical spinal cord injury (SCI) caused by a bicycle accident. The neurogenic shock was resolved dramatically 2 weeks after the administration of alpha-1-adrenergic agonist, midodrine hydrochloride. In usual cases, neurogenic shock tends to improve between 2 and 6 weeks after SCI; however, in a few cases, the shock lasts for several months. In our case, spinal shock lasted for 13 weeks and exhibited very sensitive decline of blood pressure for even a slight decrease of dopamine despite recovered bulbospongiosus reflex. Three days after midodrine hydrochloride was added, hypotension improved dramatically. We discuss our rare case with pertinent literatures.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Reflex
/
Shock
/
Spinal Cord
/
Spinal Cord Injuries
/
Blood Pressure
/
Dopamine
/
Adrenergic alpha-Agonists
/
Hypotension
/
Midodrine
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Neurotrauma
Year:
2015
Type:
Article
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