Clinical Characteristics and Treatment of Autonomic Dysreflexia after Spinal Cord Injury (review)

VernacularTitle:脊髓损伤后植物神经反射异常的临床特点及防治措施
Author: Wei XIONG ^{1
,

2
,

3} ; Yue SU ⁴ ; Junwei ZHANG ^{2
,

3
,

5} ; Qiang WANG ^{1
,

2
,

3}
Author Information

1. a. Department of Anesthesiology,Beijing Bo'
2. ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
3. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
4. Department of Anesthesiology, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
5. Department of Spine and Spinal Cord Surgery, Beijing Bo'
Publication Type:Journal Article
Keywords: spinal cord injury, autonomic dysreflexia, clinical characteristics, mechanism, treatment, review
From: Chinese Journal of Rehabilitation Theory and Practice 2018;24(10):1172-1177
CountryChina
Language:Chinese
Abstract: Autonomic dysreflexia (AD) is an emergency commonly happened in patients with spinal cord injury (SCI) above T6 and especially in chronic SCI patients. AD is usually triggered by stimuli below the injury level. Sudden elevated blood pressure is the main clinical symptom and cardiovascular and/or cerebral complication even death if effective treatments are not provided. Mechanisms contributed to AD possibly are dysfunction of supra spinal control, plastic changes of neurons and receptors. Preventive measures and managements such as removal of risk factor, adjustment of body position, and pharmacological treatment are now in use.