《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2018, Vol. 24 ›› Issue (10): 1172-1177.doi: 10.3969/j.issn.1006-9771.2018.00.003

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

XIONG Wei3, SU Yue2, ZHANG Jun-wei3, WANG Qiang3   

  1. 1. a. Department of Anesthesiology; b. Department of Spine and Spinal Cord Surgery, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China;
    2. Department of Anesthesiology, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;
    3. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
  • Received:2018-03-15 Published:2018-10-25 Online:2018-10-30
  • Contact: SU Yue, WANG Qiang. E-mail: suyue501@aliyun.com (SU Yue); 13801032889@163.com (WANG Qiang)

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.

Key words: spinal cord injury, autonomic dysreflexia, clinical characteristics, mechanism, treatment, review

CLC Number: