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学科主题: 临床医学
题名:
Postpartum hypogalactia in a woman with Brown-Sequard-plus syndrome: a case report
作者: Liu, N.1,2; Krassioukov, A. V.2,3,4
关键词: autonomic function ; lactation ; hypogalactia ; Brown-Sequard-plus syndrome ; spinal cord injury
刊名: SPINAL CORD
发表日期: 2013-10-01
DOI: 10.1038/sc.2013.51
卷: 51, 期:10, 页:794-796
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Clinical Neurology ; Rehabilitation
研究领域[WOS]: Neurosciences & Neurology ; Rehabilitation
关键词[WOS]: TRAUMATIC BRAIN-INJURY ; SPINAL-CORD-INJURY ; WOMEN ; MILK
英文摘要:

Study design: A case report.

Objectives: To present a case of postpartum hypogalactia in a woman with Brown-Sequard-plus syndrome (BSPS).

Setting: Outpatient spinal cord injury (SCI) clinic.

Case report: A 33-year-old woman with C4 AIS D tetraplegia (American Spinal Injury Association Impairment Scale) was followed at the outpatient SCI clinic for the past 5 years. Her right side presents with increased tone, increased spasticity and decreased sensitivity to light touch. Conversely, her left side presents with minimal changes in tone and no motor function deficits, but decreased sensitivity to pinprick and temperature sensation. These findings are consistent with BSPS. After inpatient rehabilitation, she was engaged, married, and 8 months ago delivered a healthy child. After an uncomplicated delivery, breastfeeding was attempted, but a significant lack of lactation was noted the first month postpartum from the right breast. Despite the implementation of measures to increase lactation, the lack of lactation from the right breast persisted, and required initiation of formula feeding. The right breast in this case lost not only sensory proprioception, but also autonomic control, which could contribute to this instance of asymmetric lactation.

Conclusion: In addition to motor and sensory dysfunctions following SCI, autonomic dysfunctions are commonly seen in individuals with these devastating injuries. The lactation on the right side, which had interrupted descending spinal autonomic pathways, was decreased by approximately 83%. This case provides us with interesting information regarding attention that clinicians should be paying when discussing the breastfeeding options for women with SCI.

语种: 英语
WOS记录号: WOS:000325323500016
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/67117
Appears in Collections:北京大学第三临床医学院_康复医学科_期刊论文

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作者单位: 1.Peking Univ, Dept Rehabil Med, Hosp 3, Beijing 100871, Peoples R China
2.Univ British Columbia, Int Collaborat Repair Discoveries, Dept Med, Vancouver, BC V5Z 1M9, Canada
3.Univ British Columbia, Div Phys Med & Rehabil, Vancouver, BC V5Z 1M9, Canada
4.Vancouver Coastal Hlth, GF Strong Rehabil Ctr, Vancouver, BC, Canada

Recommended Citation:
Liu, N.,Krassioukov, A. V.. Postpartum hypogalactia in a woman with Brown-Sequard-plus syndrome: a case report[J]. SPINAL CORD,2013,51(10):794-796.
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