Abstract:
STUDY DESIGN:Case report of two subjects. OBJECTIVE:Charcot joints of the spine as a cause of Autonomic Dysreflexia in spinal cord lesions. SETTING:Stoke Mandeville Hospital, UK. METHOD:Two patients with long standing spinal cord lesions developed symptoms of headaches and sweating associated with sitting up and transfers. In both cases no other cause was found to account for Autonomic Dysreflexia. RESULT:Charcot Joints of the spine below the level of injury were demonstrated in both cases and symptoms resolved with prolonged bed rest. CONCLUSION:As care of spinally injured patients continues to improve, they live longer and lead a more active lifestyle, it is expected that the incidence and prevalence of Charcot's joints will increase. Therefore the knowledge and heightened awareness of this entity, early diagnosis and detection with plain X-rays for urinary surveillance, may reduce the morbidity in spinal cord injured patients.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Selmi F,Frankel HL,Kumaraguru AP,Apostopoulos Vdoi
10.1038/sj.sc.3101345subject
Has Abstractpub_date
2002-09-01 00:00:00pages
481-3issue
9eissn
1362-4393issn
1476-5624journal_volume
40pub_type
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