Midodrine treatment in a patient with orthostatic hypotension associated with spinal cord injury
Küçük Resim Yok
Tarih
2018
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Orthostatic hypotension (OH) is an important clinical issue that may adversely affectthe rehabilitation process in patients with spinal cord injury (SCI). In some clinical situations whereOH is nonresponsive to non-pharmacological approaches, it may be beneficial to use midodrine forthe treatment of OH, which is a potent vasoconstrictive agent. A 62-year-old male patients with C4AIS C chronic spinal cord injury, he have OH associated with spinal cord injury admitted to hospitalfor the long term rehabilitative care. Rehabilitation program couldn’t be maintained as a resultof OH. Midodrine therapy was started to remove the OH. OH was completely improved withmidodrine therapy and the patient was finally able to sit. During the treatment, rate of AutonomicDysreflexia (AD) was increased, hence, the midodrin dosage was lowered to the level at which theAD was at least seen, and the treatment continued. The patient then was discharged from the hospitalat a wheelchair-dependent level. The midodrine was observed to be effective for the treatmentof OH in patients with SCI. AD, however, should be kept in mind that its frequency may increasesas a side effect of midodrine therapy.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Rehabilitasyon
Kaynak
Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
21
Sayı
3
