ABSTRACT

Introduction Autonomic dysreflexia (AD) is a complication commonly found in patients with spinal cord injury (SCI) at T6 or above. AD is the result of an uncontrolled sympathetic response secondary to a noxious stimulus. In consequence, this phenomenon is a medical emergency that can result in severe complications and can even be life-threatening. The incidence of AD for SCIs above T6 is between 50 and 70%.1-3 It is important that all healthcare providers are familiar with the signs and symptoms at presentation, and are able to identify the potential causes of AD. They should also know how to manage acute episodes of AD. Successful management of patients with AD begins with its prevention through patient and family education. Identification and avoidance of noxious stimuli can often be managed by adequate bladder, bowel, and skin care.