Autonomic dysreflexia in patient after spinal cord injury
Authors:
Vladimír Šámal 1,2; Jan Mečl 1
Authors place of work:
Urologické oddělení, Krajská nemocnice Liberec, a. s.
1; Urologická klinika Fakultní nemocnice a Lékařské fakulty UK, Hradec Králové
2
Published in the journal:
Ces Urol 2014; 18(4): 279-287
Category:
Review article
Summary
Autonomic dysreflexia is a consequence of dysfunction of the autonomic nervous system following spinal cord injury, which leads also to interruption of sympathetic nerve pathways in the spinal cord due to an accident. The autonomic dysreflexia occurs in patients with injuries above the spinal segment T6. It is caused by an imbalance between the sympathetic and parasympathetic nervous systems. Autonomic dysreflexia can be triggered by a number of physiological or pathological sensations from the area under the spinal cord lesion. It is characterized by paroxysmal hypertension accompanied by bradycardia and headaches. The aim of this communication is to provide urologists with current and comprehensive knowledge of the pathogenesis, clinical manifestations and evidence-based treatment of autonomic dysreflexia.
Key words:
autonomic dysreflexia, spinal cord injury, autonomic nervous system, tetraplegia.
Zdroje
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Štítky
Paediatric urologist Nephrology UrologyČlánok vyšiel v časopise
Czech Urology
2014 Číslo 4
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