Case Report On Hypotension with Cervical Myelopathy

Abstract

Introduction: Cervical myelopathy is frequently accompanied with spinal degeneration. Many cases of cervical myelopathy show signs of autonomic nervous system abnormalities. During anaesthesia, autonomic dysfunction can cause haemodynamic instability and hypotension. Main symptoms and/or important clinical findings: A 50 year old male was admitted in AVBRH in medicine ward Sawangi Meghe Wardha with chief complaint of Arms, fingers, and hands become numb and tingly. Muscle weakness makes grabbing and holding objects difficult. Pain and stiffness in the neck since 10 days. The main diagnoses, therapeutic interventions, and outcomes: After physical examination and investigation, this case was diagnosed having cervical myelopathy with hypotension with chief complaint of Arms, fingers, and hands become numb and tingly. Muscle weakness makes grabbing and holding objects difficult. Pain and stiffness in the neck since 10 days. The patient was undergoing treatment at private hospital but his condition did not improve so he was brought to Sawangi Meghe. He was provided the patient antimicrobial agents in the treatment of HTN cervical myelopathy. Case was stable but blood pressure revealed sign of Hypotension. Nursing perspective: Fluid replacement i.e. DNS and RL, monitoring of vital signs per hourly. Conclusion: The most common source of spinal cord impairment in adults is degenerative cervical myelopathy. This review aids in the identification of the condition in primary care, increasing the odds of early detection and preventing future neurologic impairment in patients.