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AUTONOMIC DYSREFLEXIA - CLINICAL

Neurosurgery

AUTONOMIC DYSREFLEXIA - CLINICAL

1. Throbbing frontal + occipital headaches.
2. Anxiety.
3. Mydriasis - if lesion is above T1.
4. Horner's syndrome if injury is at T1 - loss of sympathetic input leading to miosis, ptosis, anhydrosis.
5. Nasal congestion.
6. Above the SCI - pallor initially followed by flushing of the face and neck along with sweating in areas above and around the SCI.
7. Piloerection - due to sympathetic stimulation of hair follicles below the level of injury.
8. Rise in SBP by 20-40mmHg above baseline.
9. Bradycardia.
10. Contraction of the urinary bladder and large bowel.
11. Penile erection.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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