may occur in patients with complete or incomplete spinal cord injury, tumors and autoimmune-induced myelodysplasia (3,4,5).
Studies reported an incidence of 2% to 57% of UTI following UDS and a 1,1% to 5,5% incidence of autonomic dysreflexia
in patients suffering from SCI.
as a complication of a fecal management system in a man with tetraplegia.
, a medical emergency that must be recognized immediately, is a distinct type of autonomic dysfunction seen in patients with spinal cord injury at or above the T6 level.
No differences were found in the proportions of those with urinary tract infections, autonomic dysreflexia
, pulmonary embolism and postural hypotension between the two groups (Table 3).
Wu, "Seizures secondary to autonomic dysreflexia
," Physical Medicine and Rehabilitation, vol.
Paski, "Autonomic dysreflexia
resulting in seizure after colonoscopy in a patient with spinal cord injury," ACG Case Reports Journal, vol.
She outlined the suspected use of intentional induction of autonomic dysreflexia
, where nausea stimuli send an afferent response which pumps out adrenaline reflexively-with downstream responses (elevated blood pressure) and potentially catastrophic consequences-but associated with up to a 10% enhancement in performance!
: an important cardiovascular complication in spinal cord injury patients.
(AD) can be a life-threatening complication of spinal cord injury (SCI), and management is largely supportive with removal of underlying noxious stimuli.
This includes, but is not limited to, anatomy and physiology, bladder, bowel and skin management, autonomic dysreflexia
and sexuality rehabilitation.
In addition, preventative education on SCI-related precautions and contraindications relating to nutrition, hydration, clean catheterization, dysreflexia
, and hypotension should be a part of routine patient education protocols (Lyder & Ayello, 2008; McKinley, Jackson, Cardenas, & DeVivo, 1999).