- Discussion:
- HTN from bladder or bowel distension or from renal calculi;
- sensitivity to succinyl choline (hyperkalemia)
- increase susceptibility to pulmonary edema;
- can follow upper and lower spinal cord injuries;
- related to bladder overdistension or fecal impaction and manifests as
with pounding HA, (from severe hypertension), anxiety, profuse head
and neck sweating, nasal obstruction, and blurred vision;
- urinary catheterization or rectal disimpaction and supportive treatment
will usually relieve the symptoms;
- if not procardia 10mg is given SL, followed by Dibenzylene (10 mg)
administered daily for prophylaxis;
- syndrome is often triggered by the stimulation of the dermatomes or
muscles innervated by nerves below the spinal-cord lesion.
- treatment options include
labetalol, phentolamine, and
sodium
nitroprusside;
