Autonomic cardiovascular dysfunction during simple arithmetic test in a patient with cervical spinal cord injury—a case report

Dan Hoeffner Kjaerup; Ellen Merete Hagen; Jørgen Vibjerg; Rikke Middelhede Hansen

doi:10.1038/s41394-021-00439-w

Autonomic cardiovascular dysfunction during simple arithmetic test in a patient with cervical spinal cord injury—a case report

Dan Hoeffner Kjaerup^*, Ellen Merete Hagen, Jørgen Vibjerg, Rikke Middelhede Hansen

^*Corresponding author for this work

Department of Clinical Medicine - The Spinal Cord Injury Centre of Western Danmark

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Abstract

Introduction: Spinal cord injury (SCI) disrupts autonomic control of the cardiovascular system, which may lead to autonomic dysfunction. Growing amounts of evidence support the possibility that systemic and cerebral hemodynamic dysfunctions may contribute to cognitive deficits in patients with SCI. Case presentation: We present a case of autonomic cardiovascular dysfunction in a 55-year old female patient following non-traumatic cervical SCI. This case illustrates how a simple arithmetic test may elicit fluctuations in blood pressure causing cognitive disturbances. Discussion: Clinical awareness of autonomic dysfunction and cognitive deficits is relevant in neurorehabilitation of patients with SCI. Assessment of autonomic function should be evaluated according to recommendation from International Standards to document remaining Autonomic Function after Spinal Cord Injury (ISAFSCI) [1].

Original language	English
Article number	78
Journal	Spinal Cord Series and Cases
Volume	7
Issue	1
ISSN	2058-6124
DOIs	https://doi.org/10.1038/s41394-021-00439-w
Publication status	Published - 26 Aug 2021

Keywords

Autonomic Nervous System
Autonomic Nervous System Diseases/diagnosis
Cardiovascular System
Cervical Cord
Female
Humans
Middle Aged
Spinal Cord Injuries/complications

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10.1038/s41394-021-00439-w

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8390512/pdf/41394_2021_Article_439.pdf

Cite this

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title = "Autonomic cardiovascular dysfunction during simple arithmetic test in a patient with cervical spinal cord injury—a case report",

abstract = "Introduction: Spinal cord injury (SCI) disrupts autonomic control of the cardiovascular system, which may lead to autonomic dysfunction. Growing amounts of evidence support the possibility that systemic and cerebral hemodynamic dysfunctions may contribute to cognitive deficits in patients with SCI. Case presentation: We present a case of autonomic cardiovascular dysfunction in a 55-year old female patient following non-traumatic cervical SCI. This case illustrates how a simple arithmetic test may elicit fluctuations in blood pressure causing cognitive disturbances. Discussion: Clinical awareness of autonomic dysfunction and cognitive deficits is relevant in neurorehabilitation of patients with SCI. Assessment of autonomic function should be evaluated according to recommendation from International Standards to document remaining Autonomic Function after Spinal Cord Injury (ISAFSCI) [1].",

keywords = "Autonomic Nervous System, Autonomic Nervous System Diseases/diagnosis, Cardiovascular System, Cervical Cord, Female, Humans, Middle Aged, Spinal Cord Injuries/complications",

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month = aug,

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doi = "10.1038/s41394-021-00439-w",

language = "English",

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Autonomic cardiovascular dysfunction during simple arithmetic test in a patient with cervical spinal cord injury—a case report. / Kjaerup, Dan Hoeffner; Hagen, Ellen Merete; Vibjerg, Jørgen et al.
In: Spinal Cord Series and Cases, Vol. 7, No. 1, 78, 26.08.2021.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Autonomic cardiovascular dysfunction during simple arithmetic test in a patient with cervical spinal cord injury—a case report

AU - Kjaerup, Dan Hoeffner

AU - Hagen, Ellen Merete

AU - Vibjerg, Jørgen

AU - Hansen, Rikke Middelhede

PY - 2021/8/26

Y1 - 2021/8/26

N2 - Introduction: Spinal cord injury (SCI) disrupts autonomic control of the cardiovascular system, which may lead to autonomic dysfunction. Growing amounts of evidence support the possibility that systemic and cerebral hemodynamic dysfunctions may contribute to cognitive deficits in patients with SCI. Case presentation: We present a case of autonomic cardiovascular dysfunction in a 55-year old female patient following non-traumatic cervical SCI. This case illustrates how a simple arithmetic test may elicit fluctuations in blood pressure causing cognitive disturbances. Discussion: Clinical awareness of autonomic dysfunction and cognitive deficits is relevant in neurorehabilitation of patients with SCI. Assessment of autonomic function should be evaluated according to recommendation from International Standards to document remaining Autonomic Function after Spinal Cord Injury (ISAFSCI) [1].

AB - Introduction: Spinal cord injury (SCI) disrupts autonomic control of the cardiovascular system, which may lead to autonomic dysfunction. Growing amounts of evidence support the possibility that systemic and cerebral hemodynamic dysfunctions may contribute to cognitive deficits in patients with SCI. Case presentation: We present a case of autonomic cardiovascular dysfunction in a 55-year old female patient following non-traumatic cervical SCI. This case illustrates how a simple arithmetic test may elicit fluctuations in blood pressure causing cognitive disturbances. Discussion: Clinical awareness of autonomic dysfunction and cognitive deficits is relevant in neurorehabilitation of patients with SCI. Assessment of autonomic function should be evaluated according to recommendation from International Standards to document remaining Autonomic Function after Spinal Cord Injury (ISAFSCI) [1].

KW - Autonomic Nervous System

KW - Autonomic Nervous System Diseases/diagnosis

KW - Cardiovascular System

KW - Cervical Cord

KW - Female

KW - Humans

KW - Middle Aged

KW - Spinal Cord Injuries/complications

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DO - 10.1038/s41394-021-00439-w

M3 - Journal article

C2 - 34446698

AN - SCOPUS:85113436817

SN - 2058-6124

VL - 7

JO - Spinal Cord Series and Cases

JF - Spinal Cord Series and Cases

IS - 1

M1 - 78

ER -

Autonomic cardiovascular dysfunction during simple arithmetic test in a patient with cervical spinal cord injury—a case report

Abstract

Keywords

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