Korean J Anesthesiol.  1997 Oct;33(4):770-773. 10.4097/kjae.1997.33.4.770.

The Effect of Subarachnoid Block in Hyperreflexic Neurogenic Bladder

• Han JI
• Lee JK
• Chung RK
• Lee GY
• Lee CH
• Lee CG

• KMID: 2237741
• DOI: http://doi.org/10.4097/kjae.1997.33.4.770

Abstract

Spinal reflex activity that remains after insult to the spinal cord brings with it significant functional impairment. Our patient had suffered from general spasticity and hyperreflexic neurogenic bladder caused by sixth cervical cord injury. Unfortunately, the use of oral medication (baclofen) was limited by an inadequate effect. So we performed two times of subarachnoid block with 0.5% heavy bupivacaine, the patient experienced improvement in bladder and sphincter function. We concluded that subarachnoid block with 0.5% heavy bupivacaine is an effective and safe modality for spasticity control in patients who are refractory to oral medication before neurolytic block.

Keyword

Anesthetic Techniques, spinal; Spinal Cord, injury, Hyperreflexic neurogenic bladder

MeSH Terms

Bupivacaine
Humans
Muscle Spasticity
Reflex
Spinal Cord
Urinary Bladder
Urinary Bladder, Neurogenic*
Bupivacaine