Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0016382 (flushing)
 6,387 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A case of hydromyelia (syringomyelia) combined with hydrocephalus is presented. The patient was a 17-year-old-boy. He was a admitted to our hospital because of disturbance of fine movement of the right hand. Neurological examinations showed right hemiparesis, right upper muscle atrophy and sensory dissociation of C1-T2 dermatomes. This dissociated sensory impairment gradually deteriorated. CT scan performed 3 and 6 hours after the intrathecal injection of metrizamide revealed an intramedullary syrinx extending between C1 and T4 vertebral levels and communicating with the 4th ventricle. Ventriculo-peritoneal shunt with a multipurpose flushing device was done and at the same time continuous intracranial pressure (ICP) monitoring was done on- and off-state of shunt system. When the shunt was closed, B wave (systoric pressure: 40 mmHg) appeared frequently. When the shunt was opened, B wave disappeared and resting pressure and pulse pressure decreased. The signs and symptoms of this patient improved after placement of the V-P shunt. These results supported Gardner's hydrodynamic theory of hydromyelia (syringomyelia).
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PMID:[Hydromyelia combined with hydrocephalus]. 395 65

A 48-year-old male with complete tetraplegia C6 presented with sweating and flushing of the right half of the face and neck that recurred when lying in supine and left lateral positions. The symptoms subsided immediately upon sitting upright or lying in a right lateral position. The symptoms were associated with occasional mild head discomfort rather than headache and were accompanied by marked elevation of blood pressure, which was 190-200/120-130 mmHg compared to his previous baseline blood pressure of 80-90/50-70 mmHg, and he had a heart rate of 60-70 beats per minute. We believe that post-traumatic syringomyelia, found upon further investigation, was the cause of the Autonomic dysreflexia (AD) in this patient. He was advised to avoid the positions causing the symptoms and the progression of symptoms was monitored regularly. AD might not have been diagnosed in this patient because of the atypical and unusual presentations. Therefore, knowledge and a heightened level of awareness of this possible complication are important when treating individuals with spinal cord injury (SCI).
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PMID:A report on an unusual presentation of autonomic dysreflexia. 2377 Sep 57