TY - JOUR
T1 - Beta blockade in the treatment of autonomic dysreflexia
T2 - A case report and review
AU - Pasquina, Paul F.
AU - Houston, Richard M.
AU - Belandres, Praxedes V.
PY - 1998/5
Y1 - 1998/5
N2 - Autonomic dysreflexia has long been considered a sympathetically mediated phenomenon. Recent articles have reported the use of alpha blockers as a means of treatment. We report the case of a 20-year-old C5 American Spinal Injury Association A spinal cord injured patient who almost daily experienced symptoms of headache, facial flushing, and hypertension consistent with autonomic dysreflexia. These symptoms caused him frequent discomfort and anxiety. Despite an extensive workup, we were unable to identify a source of his dysreflexic episodes. After starting metoprolol 50mg every night, however, these episodes stopped and the patient showed no adverse effects from the medication.
AB - Autonomic dysreflexia has long been considered a sympathetically mediated phenomenon. Recent articles have reported the use of alpha blockers as a means of treatment. We report the case of a 20-year-old C5 American Spinal Injury Association A spinal cord injured patient who almost daily experienced symptoms of headache, facial flushing, and hypertension consistent with autonomic dysreflexia. These symptoms caused him frequent discomfort and anxiety. Despite an extensive workup, we were unable to identify a source of his dysreflexic episodes. After starting metoprolol 50mg every night, however, these episodes stopped and the patient showed no adverse effects from the medication.
UR - http://www.scopus.com/inward/record.url?scp=0031898520&partnerID=8YFLogxK
U2 - 10.1016/S0003-9993(98)90077-6
DO - 10.1016/S0003-9993(98)90077-6
M3 - Article
C2 - 9596403
AN - SCOPUS:0031898520
SN - 0003-9993
VL - 79
SP - 582
EP - 584
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 5
ER -