Midodrine treatment in a patient with orthostatic hypotension associated with spinal cord injury

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dc.contributor.authorKarataş, Hatice Gülsah
dc.contributor.authorMetli, Neslihan
dc.contributor.authorYalçın, Elif
dc.contributor.authorAkyüz, Müfit
dc.contributor.authorKaymaz, Tuğba İkiz
dc.date.accessioned2024-09-29T16:30:52Z
dc.date.available2024-09-29T16:30:52Z
dc.date.issued2018
dc.departmentKarabük Üniversitesien_US
dc.description.abstractOrthostatic 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.en_US
dc.identifier.doi10.31609/jpmrs.2017-54924
dc.identifier.endpage146en_US
dc.identifier.issn1309-3843
dc.identifier.issue3en_US
dc.identifier.startpage143en_US
dc.identifier.trdizinid320951en_US
dc.identifier.urihttps://doi.org/10.31609/jpmrs.2017-54924
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/320951
dc.identifier.urihttps://hdl.handle.net/20.500.14619/10948
dc.identifier.volume21en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofFiziksel Tıp ve Rehabilitasyon Bilimleri Dergisien_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGenel ve Dahili Tıpen_US
dc.subjectRehabilitasyonen_US
dc.titleMidodrine treatment in a patient with orthostatic hypotension associated with spinal cord injuryen_US
dc.typeArticleen_US

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