Autonomic dysreflexia: Incidence in persons with neurologically complete and incomplete tetraplegia

Short Title:
Autonomic dysreflexia: Incidence in persons with neurologically complete and incomplete tetraplegia
Model System:
SCI
Reference Type:
Journal Article
Accession No.:
J46250.
Journal:
Journal of Spinal Cord Medicine
Year, Volume, Issue, Page(s):
2003, vol. 26, issue 3, pp 244-247.
Publication Website:
Abstract:
Study examined the incidence and onset of autonomic dysreflexia (AD) in patients with complete and incomplete tetraplegia. AD 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 (SCI). Persons at risk for this problem generally have injury levels above T-6. Data were collected prospectively on 332 patients with SCI regarding their American Spinal Injury Association (ASIA) impairment score and neurologic level, presence of AD, and length of hospital stay. Thirty-four patients (10 percent) were confirmed as having AD. Patients with complete SCI (ASIA A or ASIA B) had a higher percentage of AD during their initial hospitalization than did patients with incomplete tetraplegia. However, patients with incomplete injuries were also at risk for developing AD. The onset of AD occurred between 1 and 6 months after injury.
Author(s):
Helkowski, Wendy M.; Ditunno, John F., Jr.; Boninger, Michael
Author Address(es):

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