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         Autonomic Dysreflexia:     more detail
  1. Autonomic Dysreflexia: What You Should Know- Consumer Guide
  2. Neurologic Emergencies with CDROM

1. Autonomic Dysreflexia And Hyperreflexia
autonomic dysreflexia, also known as hyperreflexia, means an overactivity ofthe Autonomic Nervous System causing an abrupt onset of excessively high blood
http://www.apparelyzed.com/autonomic.html
Autonomic Dysreflexia or Hyperreflexia affects blood pressure in high level spinal cord injuries Quadriplegic and Paraplegic Forum Register : Login Password

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... Spinal Cord : Autonomic Dysreflexia : Temperature Regulation Respiratory System Pressure Sores Spinal Cord Injury Research
Autonomic Dysreflexia, also known as Hyperreflexia, is a condition where the blood pressure in a person with a spinal cord injury (SCI) above T5-6 becomes excessivly high due to the over activity of the Autonomic Nervous System. Autonomic Dysreflexia is usually caused when a painful stimulus occures below the level of.spinal cord injury. The stimulus is then mediated through the Central Nervous System (CNS) and the Peripheral Nervous System (PNS). The CNS is made up of the spinal cord and brain, which control voluntary acts and end organs via their respective nerves. The PNS is made up from 12 pairs of crainial nerves, spinal nerves and peripheral nerves. The PNS also is divided into the somatic nervous system and the autonomic nervous system. The autonomic nervous system is responsible for the signs and symptoms of autonomic dysreflexia. The autonomic nervous system normally maintains body homeostasis via its two branches, the parasympathetic autonomic nervous system (PANS) and the sympathetic autonomic nervous system (SANS). These branches have complementary roles through a negative-feedback system; that is, when one branch is stimulated, the other branch is suppressed.

2. National Spinal Cord Injury Association - Welcome!
An article explaining what autonomic dysreflexia is and how it occurs.
http://www.spinalcord.org/resource/Factsheets/factsheet17.html
document.write(pagetime); info@spinalcord.org Search on NSCIA: New Injury Resource Center Find a NSCIA Chapter Join NSCIA NSCIA Partners News ... Press Room Username: Password: Want to make a donation? You can make a donation on-line by visiting PayPal. How much would you like to contribute?
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404 ERROR MESSAGE The page you requested cannot be found. The page you are looking for might have been removed, had its name changed, or is temporarily unavailable.
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404 ERROR MESSAGE top Print this page! Terms of Use Privacy Site Map National Spinal Cord Injury Association

3. Automatic Dysreflexia (Hyperreflexia)
autonomic dysreflexia, also known as hyperreflexia, is a state that is unique to patients after spinal cord injury at a T5 level and above.
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

4. Automatic Dysreflexia (Hyperreflexia)
OTHER COMPLICATIONS OF SPINAL CORD INJURY autonomic dysreflexia (HYPERREFLEXIA) autonomic dysreflexia, also known as hyperreflexia, is a state that is
http://calder.med.miami.edu/pointis/automatic.html
OTHER COMPLICATIONS OF SPINAL CORD INJURY: AUTONOMIC DYSREFLEXIA (HYPERREFLEXIA)
Autonomic dysreflexia, also known as hyperreflexia, is a state that is unique to patients after spinal cord injury at a T-5 level and above. Patients with spinal cord injuries at Thoracic 5 (T-5) level and above are very susceptible. Patients with spinal cord injuries at Thoracic 6 - Thoracic 10 (T6-T10) may be susceptible. Patients with Thoracic 10 (T-10) and below are usually not susceptible. Also, the older the injury the less likely the person will experience autonomic dysreflexia. Autonomic dysreflexia can develop suddenly, and is a possible emergency situation. If not treated promptly and correctly, it may lead to seizures, stroke, and even death.

5. Jerry Haney, Table Of Contents, An Index To Jerry's Site
Details about autonomic dysreflexia, the symptoms and why they happen and finding and removing the causes.
http://www.jerryhaney.com/contents.htm#SCI

6. Other Complications Of SCI
pain; postural hypotension; and spasticity. autonomic dysreflexia ( Hyperreflexia) Symptoms and causes Treatment Prevention
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

7. Northeast Rehabilitation Health Network
autonomic dysreflexia is a syndrome characterized by abrupt onset of excessivelyhigh True autonomic dysreflexia is potentially lifethreatening and is
http://www.northeastrehab.com/Articles/dysreflexia.htm
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Autonomic Dysreflexia
Thomas Cody, MD
Staff Physiatrist - Northeast Rehabilitation Hospital Veronica (Roni) Zieroff, RN, BS, CRRN Spinal Cord Injury Program Team Leader - Northeast Rehabilitation Hospital
What is "Autonomic Dysreflexia?"
Autonomic dysreflexia is a syndrome characterized by abrupt onset of excessively high blood pressure caused by uncontrolled sympathetic nervous system discharge in persons with spinal cord injury. Persons at risk for this problem generally have injury levels above T-6. True autonomic dysreflexia is potentially life-threatening and is considered a medical emergency.
What are signs and symptoms of Autonomic Dysreflexia?
  • Hypertension (blood pressure greater than 200/100) Pounding headache (secondary to hypertension/vasodilatation) Flushed (reddened) face (secondary to vasodilatation) Red blotches on the skin above level of spinal injury (secondary to vasodilatation) Sweating above level of spinal injury (secondary to vasodilatation) Nasal stuffiness (secondary to vasodilatation) Nausea (secondary to vagal parasympathetic stimulation)

8. Spinal Cord Injury Information, SCI-Info-Pages
Resources for quadriplegics, paraplegics and caregivers. Includes sections on bowel, bladder and skin management, autonomic dysreflexia and other health issues.
http://www.sci-info-pages.com/
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Welcome to the Spinal Cord Injury Information Pages.
This site is a free and informative resource for those suffering from a spinal cord injury or other disabling injuries or diseases of the spine. It is meant to be a "best of the web" site for SCI health information. Visit regularly for updated resources, new features, links and more. If you know of something that should be added such as links, news, clinical trials, pictures, etc., please contact me This site was originally created as my own personal resource. As it grew I decided to share it with others like me (C5/6 Quadriplegic per a diving accident in 1999). Please note that only quality websites and related information are listed here. So, there is no need to bookmark a bunch of sites as the best resources are right here for you. Be sure to check out the spinal cord injury news blog . It will be updated on a regular basis featuring current SCI news. If you know of any encouraging news, a new SCI resource, a new daily living aid or just something noteworthy drop me a line and I'll post it.

9. SPINALCORD Autonomic Dysreflexia - A Possible Life Threatening
autonomic dysreflexia A possible life threatening situation
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

10. EMedicine - Autonomic Dysreflexia In Spinal Cord Injury : Article By Denise I Ca
autonomic dysreflexia in Spinal Cord Injury autonomic dysreflexia (AD) is asyndrome of massive imbalanced reflex sympathetic discharge occurring in
http://www.emedicine.com/pmr/topic217.htm
(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Physical Medicine and Rehabilitation Spinal Cord Injury
Autonomic Dysreflexia in Spinal Cord Injury
Last Updated: February 7, 2005 Rate this Article Email to a Colleague Synonyms and related keywords: autonomic hyperreflexia, paroxysmal hypertension, hypertensive autonomic crisis, visceroautonomic stress syndrome, autonomic spasticity, sympathetic hyperreflexia, mass reflex AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography
Author: Denise I Campagnolo, MD, MS , Director of Clinical Trials Research, Barrow Neurological Institute, St Joseph's Hospital Denise I Campagnolo, MD, MS, is a member of the following medical societies: Alpha Omega Alpha American Academy of Physical Medicine and Rehabilitation American Association of Neuromuscular and Electrodiagnostic Medicine American Medical Association ... American Spinal Injury Association , and Association of Academic Physiatrists Editor(s): Milton J Klein, DO

11. Spinal Cord Injury Information, SCI-Info-Pages
Resources for quadriplegics, paraplegics and caregivers. Includes sections on bowel, bladder and skin management, autonomic dysreflexia and other
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

12. EMedicine - Autonomic Dysreflexia In Spinal Cord Injury : Article Excerpt By: De
autonomic dysreflexia in Spinal Cord Injury autonomic dysreflexia (AD) is asyndrome of massive imbalanced reflex sympathetic discharge occurring in
http://www.emedicine.com/pmr/byname/autonomic-dysreflexia-in-spinal-cord-injury.
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Excerpt from Autonomic Dysreflexia in Spinal Cord Injury
Synonyms, Key Words, and Related Terms: autonomic hyperreflexia, paroxysmal hypertension, hypertensive autonomic crisis, visceroautonomic stress syndrome, autonomic spasticity, sympathetic hyperreflexia, mass reflex
Please click here to view the full topic text: Autonomic Dysreflexia in Spinal Cord Injury
Background: Autonomic dysreflexia (AD) is a syndrome of massive imbalanced reflex sympathetic discharge occurring in patients with spinal cord injury (SCI) above the splanchnic sympathetic outflow (T5-T6). Anthony Bowlby first recognized this syndrome in 1890 when he described profuse sweating and erythematous rash of the head and neck initiated by bladder catheterization in an 18-year-old patient with SCI. Guttmann and Whitteridge completed a full description of the syndrome in 1947. This condition represents a medical emergency, so recognizing and treating the earliest signs and symptoms efficiently can avoid dangerous sequelae of elevated blood pressure. SCI patients, caregivers, and medical professionals must be knowledgeable about this syndrome and its management. Pathophysiology: This phenomenon occurs after the phase of spinal shock in which reflexes return. Individuals with injury above the major splanchnic outflow may develop AD. Below the injury, intact peripheral sensory nerves transmit impulses that ascend in the spinothalamic and posterior columns to stimulate sympathetic neurons located in the intermediolateral gray matter of the spinal cord. The inhibitory outflow above the SCI from cerebral vasomotor centers is increased, but it is unable to pass below the block of the SCI. This large sympathetic outflow causes release of various neurotransmitters (norepinephrine, dopamine-b-hydroxylase, dopamine), causing piloerection, skin pallor, and severe vasoconstriction in arterial vasculature. The result is sudden elevation in blood pressure and vasodilation above the level of injury. Patients commonly have a headache caused by vasodilation of pain sensitive intracranial vessels.

13. Autonomic Dysreflexia, Spinal Cord Injury Information Pages
Describes autonomic dysreflexia, its signs, symptoms, causes, treatment and prevention. Also contains an AD card for your wallet.
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

14. Autonomic Dysreflexia
What can be done to manage an episode of autonomic dysreflexia? How can autonomicdysreflexia be prevented? autonomic dysreflexia (AD), also known as
http://www.spinalcord.org/html/factsheets/aut_dysreflexia.php
document.write(pagetime); info@spinalcord.org Search on NSCIA: Fact Sheets Resource Center Contact Us Find a NSCIA Chapter Join NSCIA Donate Username: Password: Want to make a donation? You can make a donation on-line by visiting PayPal. How much would you like to contribute?
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Autonomic Dysreflexia What is "Autonomic Dysreflexia"?
What are the indicators for the onset of AD?

What sort of things can precipitate this syndrome?

What can be done to manage an episode of autonomic dysreflexia?
...
How can autonomic dysreflexia be prevented?

Autonomic Dysreflexia (AD), also known as Hyperreflexia, is a potentially dangerous complication of spinal cord injury (SCI). In AD, an individual's blood pressure may rise to dangerous levels and if not treated can lead to stroke and possibly death. Individuals with SCI at the T-6 level or above are at greater risk. AD usually occurs because of a noxious (irritating) stimulus below the level of the injury. Symptoms include headache, facial flush, perspiration, and a stuffy nose. AD occurs primarily because of an imbalance in the body systems which control the blood pressure. The human body is an incredibly complicated and beautifully balanced machine. There are balances to each system of the body, including the blood pressure. One of the major ways the body controls blood pressure is by tightening or relaxing little muscles around the blood vessels. When the muscles contract, the blood vessels get smaller and blood pressure increases. Imagine a garden hose with water streaming through it; when you put your thumb over the opening of the hose, reducing the opening for the water to flow through, the water shoots out at a higher pressure. Similarly, when the blood vessels are smaller, the blood rushes around your body at higher pressure.

15. EMedicine - Autonomic Dysreflexia In Spinal Cord Injury Article By
autonomic dysreflexia in Spinal Cord Injury autonomic dysreflexia (AD) is a syndrome of massive imbalanced reflex sympathetic discharge occurring
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

16. NSCIA: Resource Center: A-Z Index By Subject
autonomic dysreflexia A possible life threatening situation Reeve ParalysisResource Center Health autonomic dysreflexia
http://www.spinalcord.org/resources/index.php?page=A&list=9

17. Northeast Rehabilitation Health Network
autonomic dysreflexia Thomas Cody, MD Staff Physiatrist Northeast Rehabilitation Hospital Veronica (Roni) Zieroff, RN, BS, CRRN Spinal Cord Injury
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

18. Autonomic Dysreflexia, Spinal Cord Injury Information Pages
Describes autonomic dysreflexia, its signs, symptoms, causes, treatment andprevention. Also contains an AD card for your wallet.
http://www.sci-info-pages.com/ad.html
Site Search HOME CONTACT LINK 2 US SUBMIT A SITE Your one stop site for Spinal Cord Injury information. AUTONOMIC DYSREFLEXIA Autonomic Dysreflexia
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SITE INFORMATION Affiliations Get your AD Card here!
What is "Autonomic Dysreflexia?"
Autonomic dysreflexia, also known as hyperreflexia, means an over-activity of the Autonomic Nervous System causing an abrupt onset of excessively high blood pressure. Persons at risk for this problem generally have injury levels above T-5. Autonomic dysreflexia can develop suddenly and is potentially life threatening and is considered a medical emergency. If not treated promptly and correctly, it may lead to seizures, stroke, and even death. AD occurs when an irritating stimulus is introduced to the body below the level of spinal cord injury, such as an overfull bladder. The stimulus sends nerve impulses to the spinal cord, where they travel upward until they are blocked by the lesion at the level of injury. Since the impulses cannot reach the brain, a reflex is activated that increases activity of the sympathetic portion of autonomic nervous system. This results in spasms and a narrowing of the blood vessels, which causes a rise in the blood pressure.
  • Pounding headache (caused by the elevation in blood pressure) Goose Pimples

19. Autonomic Dysreflexia
autonomic dysreflexia, also known as hyperreflexia, means an overactivity of the Autonomic Nervous System causing an abrupt onset of excessively
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

20. SCI Info Pages - A Printable Autonomic Dysreflexia Card
CUT OUT YOUR CARD ALONG THE DARK BLACK BORDER. FOLD AT CENTER LAMINATE FORSAFEKEEPING. Printable autonomic dysreflexia Card.
http://www.sci-info-pages.com/ad_card.html
PRINT OUT THIS PAGE 9USING THE "BEST" SETTING").
CUT OUT YOUR CARD ALONG THE DARK BLACK BORDER.

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