Autonomic dysreflexia: Essential concepts from physical medicine and rehabilitation
DOI:
https://doi.org/10.28957/rcmfr.367Keywords:
Spinal cord, spinal cord injuries, autonomic dysreflexia, rehabilitation, therapyAbstract
Spinal cord trauma is common worldwide, causes an impact on functionality and generates a high rate of disability. It presents motor, sensory and additionally autonomic manifestations, the latter being an important cause of morbidity and mortality. Spinal cord injuries at levels higher than T6 can generate autonomic dysreflexia (AD), which manifests mainly with arterial hypertension and other autonomic symptoms, triggered by unmodulated sympathetic reflexes, released by a wide variety of visceral and somatic stimuli. The clinical manifestations of AD can generate additional complications to the clinical picture and even cause the death of the patient; for which it is of vital importance for health professionals to know the pathology, early identification and management of AD. In this article, a narrative review of AD is carried out with the aim of making its definition, pathophysiology, and management known.
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