Ortostatická hypotenze jako autonomní dysregulační porucha po poranění krční míchy

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Title in English Orthostatic Hypotension as a Multifactorial Abnormality after Cervical Spinal Cord Injury
Authors

ONDRUŠOVÁ Katarína NOVÁKOVÁ Marie

Year of publication 2014
Type Article in Periodical
Magazine / Source Česká a Slovenská neurologie a neurochirurgie
MU Faculty or unit

Faculty of Medicine

Citation
Field Neurology, neurosurgery, neurosciences
Keywords spinal cord injury; orthostatic hypotension; autonomous nervous system
Description Verticalisation, posture changes and transport strategies form an integral part of rehabilitation programmes as well as daily activities of patients with spinal cord injury (SCI). Orthostatic hypotension symptoms represent a frequent problem, mainly early after SCI. Orthostatic hypotension markedly worsens quality of life, in particular in patients with cervical SCI. Motor and sensory deficits are evaluated according to the international standard for neurological classification of spinal cord injury; detailed description of residual autonomous nervous system general function constitutes a part of comprehensive neurological examination of these patients. In this paper, causes, symptoms and clinical picture of orthostatic hypotension from acute to chronic stage and with respect to the lesion position, are summarized. Also, an overview of non-pharmacological and pharmacological interventions is provided.
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