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7 Cards in this Set

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  • Back

T 10

Lesion below which incidence is rare

T6

Lesion above which incidence 85%

Below lesion - sympathetic dominant

Sympathetic surge, vasoconstriction, pallor, erection

Above lesion - parasympathetic dominant

Reflex cutaneous vasodilation, flushing, nasal congestion; piloerection + sweating cholinergic mediated, but sympathetic

Onset

3 weeks to 9 months after initial injury

Systemic effect

Hypertension, bradycardia, blurred vision, headache, seizure, coma

Goals of mgmt

Deep GA/regional; upright position; identify trigger and address it; block vasoconstriction: nitroprusside, hydralazine, phentolamine, labetalol