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Autonomic dysreflexia in spinal cord injury
  1. Celine Lakra1,
  2. Orlando Swayne2,3,
  3. Gerry Christofi4,
  4. Manishkumar Desai5
  1. 1 Neuro-rehabilitation Unit, University College London, London, UK
  2. 2 National Hospital for Neurology and Neurosurgery, London, UK
  3. 3 University College London Institute of Neurology, London, UK
  4. 4 Therapies and Rehabilitation, National Hospital for Neurology and Neurosurgery. Queen Square, London, UK
  5. 5 London Spinal Cord Injury Centre, Royal National Orthopaedic Hospital NHS Trust, Stanmore, Stanmore, UK
  1. Correspondence to Dr Celine Lakra, Neuro-rehabilitation Unit, University College London, London WC1N 3BG, UK; celine.lakra{at}nhs.net

Abstract

Autonomic dysreflexia is a relatively common condition in people who have a spinal cord injury above the level of T6. It is a potentially life-threatening; without timely and effective treatment, it can have deleterious cardiophysiological and systemic consequences. It is therefore imperative for medical professionals to have a clear understanding of its acute management, and be prepared to provide support and education to those caring for at-risk patients. In this paper we provide practical guidance and supporting evidence regarding the management of autonomic dysreflexia in adults with spinal cord injury.

  • rehabilitation
  • clinical neurology
  • autonomic

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Footnotes

  • Contributors The authors of this paper have all contributed significantly and fairly to the writing and/or editing. There have been no additional contributors to the paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned. Externally peer reviewed by Sree Kolli, Cardiff, UK.

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  • Editors’ commentary
    Phil E M Smith Geraint N Fuller

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