Urodynamic picture in high spinal cord ischemia, induced by addictive use of cocaine. Report of a case

The authors present a case of spinal cord ischemia at level C2 related to cocaine use. The neurologic pattern was an anterior cord hemisection syndrome. Urodynamic assessment was performed at 6 and 14 months from the neurovascular event. The ice-water test (IWT) showed an uninhibited bladder cooling...

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Bibliographic Details
Published inActas urologicas españolas Vol. 20; no. 3; p. 302
Main Authors Matei, D V, Pascale, F, Clemente, A, Della Corte, F, Pucello, D, Grassetti, F
Format Journal Article
LanguageSpanish
Published Spain 01.03.1996
Subjects
Adult
Cocaine - adverse effects
Cold Temperature
Humans
Ischemia - chemically induced
Ischemia - diagnosis
Ischemia - physiopathology
Male
Neck
Spinal Cord - blood supply
Substance-Related Disorders - complications
Urodynamics
Water
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Summary:The authors present a case of spinal cord ischemia at level C2 related to cocaine use. The neurologic pattern was an anterior cord hemisection syndrome. Urodynamic assessment was performed at 6 and 14 months from the neurovascular event. The ice-water test (IWT) showed an uninhibited bladder cooling reflex, despite an areflexic detrusor (at routine filling cystometry). Occult bladder hyperreflexia became overt during the following month and was registered by the second urodynamic assessment. Anatomical bases of spinal cord blood supply are discussed. The authors emphasize the role of the IWT in predicting the development of overt bladder hyperreflexia and thus, spinal shock phase resolution.
ISSN:0210-4806