Autonomic dysreflexia is a clinical emergency syndrome of uncontrolled sympathetic output that can occur in patients who have a history of spinal cord injury. Despite its frequency in spinal cord injury patients, central nervous system complications are very rare. We report a man with traumatic high level incomplete spinal cord injury who suffered hypertensive right thalamic hemorrhage secondary to an episode of autonomic dysreflexia. Prompt recognition and removal of the triggering factor, the suprapubic catheter obstruction which led to hypertensive attack, the patient had a favorable functional outcome after the resorption of the hematoma and effective rehabilitation programme.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4130954 | PMC |
http://dx.doi.org/10.3340/jkns.2014.55.5.277 | DOI Listing |
PM R
January 2025
Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota, USA.
Background: Individuals with spinal cord injury (SCI) commonly have autonomic dysreflexia (AD) with increased sympathetic activity. After SCI, individuals have decreased baroreflex sensitivity and increased vascular responsiveness.
Objective: To evaluate the relationship between baroreflex and blood vessel sensitivity with AD symptoms.
PM R
December 2024
Department of Medicine, University of Montreal, Montreal, Quebec, Canada.
Top Spinal Cord Inj Rehabil
December 2024
James J. Peters VA Medical Center, Bronx, New York.
Clin Auton Res
November 2024
Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, V5A 1S6, Canada.
Phys Med Rehabil Clin N Am
February 2025
International Collaboration on Repair Discoveries, University of British Columbia, Vancouver, British Columbia, Canada; ICORD-BSCC, UBC, 818 West 10th Avenue, Vancouver, British Columbia V5Z 1M9, Canada; Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; G.F. Strong Rehabilitation Centre, Vancouver Coastal Health, Vancouver, British Columbia, Canada. Electronic address:
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