Abstract
Nearly all men with spinal cord injury suffer from neurogenic sexual dysfunction which is often treated with phosphodiesterase-5 (PDE5) inhibitors. We describe a case of subarachnoid hemorrhage due to autonomic dysreflexia (AD) caused by sexual stimulation. Nitrates are frequently used for acute treatment of AD; however, the use of these drugs in combination with PDE5 inhibitors is contraindicated. Therefore, meticulous information from patients and relatives on the risk of AD and possible drug interactions is of vital importance.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Adult
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Autonomic Dysreflexia / chemically induced*
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Autonomic Dysreflexia / diagnosis
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Autonomic Dysreflexia / prevention & control*
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Erectile Dysfunction / complications
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Erectile Dysfunction / prevention & control
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Humans
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Male
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Paraplegia / complications*
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Paraplegia / drug therapy
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Phosphodiesterase 5 Inhibitors / adverse effects*
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Phosphodiesterase 5 Inhibitors / therapeutic use*
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Subarachnoid Hemorrhage / chemically induced*
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Subarachnoid Hemorrhage / diagnosis
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Subarachnoid Hemorrhage / therapy*
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Treatment Outcome
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Urological Agents / adverse effects
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Urological Agents / therapeutic use
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Vasodilator Agents / adverse effects
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Vasodilator Agents / therapeutic use
Substances
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Phosphodiesterase 5 Inhibitors
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Urological Agents
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Vasodilator Agents