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Aktuelle Neurologie 2007; 34(8): 478-490
DOI: 10.1055/s-2007-971022
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© Georg Thieme Verlag KG Stuttgart · New York

Komplikationen und Spätfolgen nach Rückenmarktrauma

Complications and Late Sequelae of Spinal Cord TraumaB.  Schurch, V.  Dietz
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Publication Date:
05 October 2007 (online)

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Lernziele

Lernziel 1: Die autonome Dysreflexie (AD) ist ein Syndrom mit möglichen lebensbedrohlichen Komplikationen, die bei Rückenmarkläsionen oberhalb von Th6 auftritt. Lernziel 2: Die autonome Dysreflexie kann, wenn nicht früh genug erkannt und behandelt, zu schwerwiegenden Komplikationen wie Blutdruckkrisen und Vasospasmen führen. Lernziel 3: Häufige Ursachen einer autonomen Dysreflexie sind Komplikationen im abdominalen Bereich wie Blaseninfektionen, verstopfte Blasenkatheter oder Hautreize durch Entzündungen oder Verbrennungen sowie Reize durch diagnostische Eingriffe. Lernziel 4: Bei rückenmarksverletzten Patienten sollte bei Veränderungen des neurologischen Status mittels Magnetresonanztomographie des Myelons eine posttraumatische Syringomyelie ausgeschlossen werden. Lernziel 5: Bei lokaler Temperaturerhöhung mit Rötung, Ödem und Bewegungseinschränkung eines Gelenkes sollte bei querschnittgelähmten Patienten an eine neurogen bedingte heterotope Ossifikation gedacht werden.

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Prof. Dr. B. Schurch

Paraplegikerzentrum, Universitätsklinik Balgrist

Forchstr. 340

8008 Zürich, Schweiz

Email: bschurch@paralab.balgrist.ch