Article Text

other Versions

Download PDFPDF
Autonomic dysreflexia in spinal cord injury
  1. Celine Lakra1,
  2. Orlando Swayne2,3,
  3. Gerry Christofi4,
  4. Manishkumar Desai5
  1. 1Neuro-rehabilitation Unit, University College London, London, UK
  2. 2National Hospital for Neurology and Neurosurgery, London, UK
  3. 3University College London Institute of Neurology, London, UK
  4. 4Therapies and Rehabilitation, National Hospital for Neurology and Neurosurgery. Queen Square, London, UK
  5. 5London 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}


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

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • 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.

Linked Articles

  • Editors’ commentary
    Phil E M Smith Geraint N Fuller

Other content recommended for you