Complications of Autonomic Dysreflexia

Kursh, Elroy D.; Freehafer, Alvin A.; Persky, Lester

doi:10.1016/s0022-5347(17)57892-1

Cited by 64 publications

(33 citation statements)

References 3 publications

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“…1,4 ± 6 Heightened sympathetic activity associated with hypertensive crisis during an episode have resulted in seizures, 3,4,6 retinal 4 and intracranial hemorrhages, 3 cerebral vascular accidents, 3,8 coma 3,6 and death. 3,6 Resolution of this autonomic phenomenon occurs with removal of the noxious stimulus precipitating the event.…”

Section: Discussionmentioning

confidence: 99%

Autonomic hyperreflexia associated with recurrent cardiac arrest: Case Report

Colachis

Clinchot

1997

Spinal Cord

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Autonomic hyperre¯exia is a condition which may occur in individuals with spinal cord injuries above the splanchnic sympathetic out¯ow. Noxious stimuli can produce profound alterations in sympathetic pilomotor, sudomotor, and vasomotor activity, as well as disturbances in cardiac rhythm. A case of autonomic hyperre¯exia in a patient with C6 tetraplegia with recurrent ventricular ®brillation and cardiac arrest illustrates the profound e ects of massive paroxysmal sympathetic activity associated with this condition.

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Section: Discussionmentioning

confidence: 99%

Autonomic hyperreflexia associated with recurrent cardiac arrest: Case Report

Colachis

Clinchot

1997

Spinal Cord

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“…They also found 10 cases in the literature related to this pathology. We have found five references of cerebral hemorrhage, [11][12][13][14] with two of them resulting in death. 12,14 …”

Section: Discussionmentioning

confidence: 99%

Cerebral hemorrhage due to autonomic dysreflexia in a spinal cord injury patient

et al. 2005

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Study design: Case report. Objective: To report an uncommon case of cerebral hemorrhage due to autonomic dysreflexia (AD) in a spinal cord injury (SCI) patient. Setting: Institut Guttmann, Neurorehabilitation Hospital in Barcelona, Spain. Case report: An SCI patient developed AD due to urinary tract infection after surgery for a pressure sore. The hypertension was difficult to control and the case progressed to hypertensive encephalopathy. MRI of the brain was performed showing a hemorrhagic lesion on the left occipital area. The hypertension was finally controlled and the neurological status improved although with some cognitive deficits. Conclusion: This is an uncommon case of cerebral hemorrhage due to AD, showing the importance of an adequate diagnosis and treatment of AD to avoid this life-threatening complication.Spinal Cord (2005) 43, 738-740.

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“…The clinical features of autonomic dysre¯exia in our patient were quite unusual and we are unaware of a similar presentation. Prior authors have reported aphasia in the presence of hemorrhage, 12 in one other description, clari®cation was not given. 5 We have treated three other patients who experienced seizures associated with autonomic dysre¯exia over the past several years.…”

Section: Discussionmentioning

confidence: 99%

“…2 ± 11 The resulting hypertension can be severe with systolic and diastolic recordings two to three times greater than the patient's baseline values. 1,3,7,9 A hypertensive crisis, if untreated, can result in seizures, 5,6,8 ± 12 hemorrhages (cerebral, retinal, subarachnoid), 6,12,13 stroke, 12,14 coma, 5,12 and death. 5,12,13 Removal of the noxious stimuli results in abrupt resolution of the autonomic response.…”

Section: Introductionmentioning

confidence: 99%

Autonomic dysreflexia associated with transient aphasia

Colachis

Fugate

2002

Spinal Cord

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Study design: Case report of autonomic dysre¯exia presenting with transient aphasia in a subject with C4 tetraplegia. Objectives: To report a rare case of autonomic dysre¯exia. Setting: Rehabilitation Service, The Ohio State University, USA. Case report: A 21-year-old man with a C4 spinal cord injury (ASIA B) developed aphasia associated with autonomic dysre¯exia. He was treated with an adrenergic blocking agent. Conclusion: Autonomic dysre¯exia manifested by a transient aphasia and seizures is uncommon.

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Complications of Autonomic Dysreflexia

Cited by 64 publications

References 3 publications

Autonomic hyperreflexia associated with recurrent cardiac arrest: Case Report

Autonomic hyperreflexia associated with recurrent cardiac arrest: Case Report

Cerebral hemorrhage due to autonomic dysreflexia in a spinal cord injury patient

Autonomic dysreflexia associated with transient aphasia

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