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

81. PsychiatryOnline - Search Results
Search Results autonomic dysreflexia. Book Results (0), Journal Results (1) 11 of 1 Journal Results. Do a full-text search for autonomic dysreflexia
http://www.psychiatryonline.com/searchResult.aspx?rootterm=autonomic dysreflexia

82. NRHhealthtown Library: Spinal Cord Injury
Preventing and Relieving autonomic dysreflexia. autonomic dysreflexia (also calledhyperreflexia) can be a serious complication of spinal cord injury (SCI),
http://www.nrhhealthtown.com/healthtown/Library/Content/Spinal Cord Injury Topic
Library Home Post-Polio Syndrome Topics Spinal Cord Injury Topics Stroke Topics A to Z ... Spinal Cord Injury Topics
Preventing and Relieving Autonomic Dysreflexia
Autonomic dysreflexia (also called hyperreflexia) can be a serious complication of spinal cord injury (SCI), especially for those with an injury at the T6 level or above. When a person has AD, his or her blood pressure can rise to dangerous levels, possibly leading to stroke or death. This life-threatening condition should be considered a medical emergency.
Preventing Autonomic Dysreflexia
Steps to help prevent autonomic dysreflexia include to:
  • Do frequent pressure relief when in bed or in a chair. Avoid sunburn and scalds (avoid sun overexposure, use sunscreen, and be sure water temperatures are not too high). Adhere to a recommended bowel program. Keep catheters clean and stay on a recommended catheterization schedule. Consume a well-balanced diet and get adequate fluid intake. Take medications as recommended.
What To Do If Signs of Autonomic Dysreflexia Develop
A person with SCI who feels signs of autonomic dysreflexia should find and remove the problem stimulus if possible. For example:

83. EMedHome.com Archives Of Featured Articles, Clinical Cases
autonomic dysreflexia (autonomic hyperreflexia) is a potentially fatal autonomic dysreflexia is a syndrome of exaggerated sympathetic activity in
http://www.emedhome.com/features_archive-detail.cfm?FID=1775

84. What Is New And You Need To Know Washington What Is Autonomic
autonomic dysreflexia, also known as hyperreflexia, means an overactivity There can be many stimuli that cause autonomic dysreflexia. Anything that
http://paramom.com/mpc/docs/Site/News .html
What is new and You need to Know 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 * Sweating above the level of injury * Nasal Congestion * Slow Pulse * Blotching of the Skin * Restlessness * Hypertension (blood pressure greater than 200/100) * Flushed (reddened) face * Red blotches on the skin above level of spinal injury * Sweating above level of spinal injury * Nausea * Cold, clammy skin below level of spinal injury

85. The Journal Of Urology - Abstract: Volume 155(2) February 1996 P 519-522 Silent
Silent autonomic dysreflexia During Voiding in Men with Spinal Cord Injuries . Purpose We determined whether symptoms of autonomic dysreflexia
http://www.jurology.com/pt/re/juro/abstract.00005392-199602000-00030.htm
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Silent Autonomic Dysreflexia During Voiding in Men with Spinal Cord Injuries.
Journal of Urology. 155(2):519-522, February 1996.
Linsenmeyer, Todd A.; Campagnolo, Denise I.; Chou, I.-Hsin Abstract:
Purpose: We determined whether symptoms of autonomic dysreflexia correlated with elevations in blood pressure in men with spinal cord injuries. Materials and Methods: During a routine yearly urodynamic evaluation 45 consecutive men with complete spinal cord injuries above T6 underwent simultaneous monitoring of blood pressure and symptoms of autonomic dysreflexia. Those with systolic blood pressure of greater than 160 mm. Hg or diastolic blood pressure of greater than 90 mm. Hg during voiding were assigned to the hypertensive group. During voiding 35 men (78 percent) had significant hypertension. Results: Before voiding there was no statistical difference in mean systolic blood pressure between men with and without hypertension (117 versus 110 mm. Hg, p = 0.28). During uninhibited contractions and voiding mean systolic blood pressure of the normotensive group (131 mm. Hg) versus the hypertensive group (169 mm. Hg) was statistically significant (p less than 0.0001). Of the 35 hypertensive patients 15 (43 percent) had no symptoms of autonomic dysreflexia. There was no correlation of autonomic dysreflexia with length of injury, maximum voiding pressure or bladder capacity (p = 0.59, 0.85 and 0.34, respectively).

86. Annals Of Plastic Surgery - Abstract: Volume 51(3) September 2003 P 325-329 Auto
resulting in a massive sympathetic discharge called autonomic dysreflexia.autonomic dysreflexia occurs in the majority of patients with injuries above
http://www.annalsplasticsurgery.com/pt/re/annps/abstract.00000637-200309000-0001
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PDF (209 K) Permissions Autonomic Dysreflexia: A Plastic Surgery Primer.
Annals of Plastic Surgery. 51(3):325-329, September 2003.
Curtin, Catherine M. MD *+; Gater, David R. MD, PhD ++[S]; Chung, Kevin C. MD + Abstract:
Plastic surgeons are integral to the management team for patients with spinal cord injuries, with responsibilities including pressure sore management and upper extremity reconstruction. Injury to the spinal cord profoundly disrupts the body's ability to maintain homeostasis. In particular, the autonomic system can become unregulated, resulting in a massive sympathetic discharge called autonomic dysreflexia. Autonomic dysreflexia occurs in the majority of patients with injuries above the sixth thoracic vertebra and causes sudden, severe hypertension. If left untreated, autonomic dysreflexia can result in stroke or death. Because this syndrome causes morbidity and mortality, it is crucial for plastic surgeons to be able to recognize and treat autonomic dysreflexia. This article reviews the etiology, symptoms, and treatment of this syndrome.
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87. Nursing Spectrum Online
6), Which of the following statements about autonomic dysreflexia is not accurate?autonomic dysreflexia affects those with injuries at T6 and above.
http://www2.nursingspectrum.com/CE/Self-Study_modules/test.html?CCID=2301

88. American Journal Of Physical Medicine & Rehabilitation - UserLogin
Hypothermia Associated with autonomic dysreflexia After Traumatic Spinal Cord Injury The autonomic dysreflexia and urinary tract infection resolved with
http://www.amjphysmedrehab.com/pt/re/ajpmr/fulltext.00002060-200203000-00013.htm
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89. Dangerwood: Post Detail
We, in this community , know what autonomic dysreflexia is and how to diagnose it.But, some of the medical staff at hospitals DO NOT know what this
http://www.survivingparalysis.com/post_detail2.asp?pid=846

90. Nursing - UserLogin
Untreated, autonomic dysreflexia can cause intracranial hemorrhage, stroke, autonomic dysreflexia is commonly triggered by a noxious stimulus below the
http://www.nursing2004.com/pt/re/nursing/fulltext.00152193-200302000-00014.htm
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91. Untitled Document
autonomic dysreflexia (AD) is a lifethreatening condition that can occur inpersons with spinal cord injury. AD is an acute episode of exaggerated
http://www.rnceus.com/uro/ad.htm
Autonomic Dysreflexia Autonomic Dysreflexia (AD) is a life-threatening condition that can occur in persons with spinal cord injury. AD is an acute episode of exaggerated sympathetic reflex response It occurs because SCI disrupts feedback mechanisms to the cord below the injury. Without inhibitory feedback, afferent stimuli travel uninhibited between reflex centers. It is usually brought on by visceral stimuli that normally cause pain or discomfort in the abdominal or pelvic region. It is uncommon for AD to occur until spinal shock has resolved, usually about 6 months after injury. It is most unpredictable during the first year following injury, but can occur throughout the person's lifetime. AD is usually characterized by hypertension ranging from mild (20 mm hg above baseline) to severe hypertension as high as 300/160, bradycardia and headache ranging from dull to severe and pounding. Instant Feedback: AD most often occurs within the first 6 months after injury.
True
False
AD is associated with injuries at T6 and above. An injury below T6, usually allows sufficient cerebral vasomotor inhibition to control sympathetic reflexes. The inverse is true for injuries at or above T6, uninhibited sympathetic release of norepinephrine and dopamine below the level of injury causes vasospasm, hypertension, skin pallor and gooseflesh associated with the piloerector response. At the same time, baroreceptor function and parasympathetic control of heart rate remain intact. Continued hypertension produces a baroreflex-mediated vagal slowing of heart rate to bradycardic levels. Accompanying that is a baroreflex-mediated vasodilatation, causing the flushed skin and profuse sweating above the level of injury, along with sudden onset of a pounding headache, nasal stuffiness and feelings of anxiety.

92. Legg And Mason (1998) Autonomic Dysreflexia In Wheelchair Sport: A New Game In T
autonomic dysreflexia in wheelchair sport A new game in the legal arena? Post aComment. CONTRIBUTORS. Author, Legg, David (Mount Royal College)
http://www.getcited.org/pub/103367435
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Autonomic dysreflexia in wheelchair sport: A new game in the legal arena?
Post a Comment CONTRIBUTORS: Author Legg, David
Mount Royal College Author Mason, Daniel S. University of Alberta JOURNAL: Marquette sports law journal: Journal of the National Sports Law Institute
YEAR: PUB TYPE:
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law; sport; organization; regulation DISCIPLINE:
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93. Autonomic Dysreflexia
autonomic dysreflexia Medical.WebEnds.com. Autonomic Hyperreflexia; Dysreflexia,Autonomic; Hyperreflexia, Autonomic; Spinal autonomic dysreflexia;
http://medical.webends.com/kw/Autonomic Dysreflexia
Medical.WebEnds.com - Medical Terminology Dictionary
A B C D ... Z
WWW Medical.WebEnds.com
Autonomic Dysreflexia
Autonomic Hyperreflexia; Dysreflexia, Autonomic; Hyperreflexia, Autonomic; Spinal Autonomic Dysreflexia; Autonomic Dysreflexia, Spinal; Autonomic Dysreflexias; Autonomic Dysreflexias, Spinal; Autonomic Hyperreflexias A syndrome associated with damage to the spinal cord above the mid thoracic level (see SPINAL CORD INJURIES ) characterized by a marked increase in the sympathetic response to minor stimuli such as bladder or rectal distention. Manifestations include HYPERTENSION TACHYCARDIA (or reflex bradycardia FEVER FLUSHING ; and HYPERHIDROSIS . Extreme hypertension may be associated with a CEREBROVASCULAR ACCIDENT . (From Adams et al., Principles of Neurology , 6th ed, pp538 and 1232; J Spinal Cord Med 1997;20(3):355-60)
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94. Autonomic Dysreflexia - Autonomic Dysreflexia And SCI (Spinal Cord Injury)
autonomic dysreflexia autonomic dysreflexia and SCI (Spnal Cord Injury) ispotentially a life threatening problem if left untreated, find out more about
http://www.spinal-injury.net/autonomic-dysreflexia.htm
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– Spinal-Injury.net Spinal-Injury.net : Spinal Cord Injury - Autonomic Dysreflexia
Autonomic Dysreflexia
Autonomic dysreflexia (AD) is a condition that can occur in anyone who has a spinal cord injury at or above the T6 level. It is related to disconnection's between the body below the injury and the control mechanisms for blood pressure and heart function. It causes the blood pressure to rise to potentially dangerous levels.
AD can be caused by a number of things. The most common causes are a full bladder, bladder infection, severe constipation, or pressure sores. Anything that would normally cause pain or discomfort below the level of the spinal cord injury can trigger dysreflexia. AD can occur during medical tests or procedures and need to be watched for.
The symptoms that occur with AD are directly related to the types of responses that happen in the sympathetic and parasympathetic nervous systems. Symptoms such as a pounding headache, spots before the eyes, or blurred vision are the direct result of the high blood pressure that occurs when blood vessels below the injury constrict. The body responds by dilating blood vessels above the injury, causing flushing of the skin, sweating, and occasionally goosebumps. Some patients describe nasal stuffiness and will feel very anxious. Uncontrolled AD can cause a stroke if not treated.

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