Autonomic Dysreflexia in Spinal Cord Injury: Overview 2026

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  1. Click ‘Get Form’ to open the Dysreflexia Alert Card in the editor.
  2. Begin by entering the student’s name and date of birth in the designated fields at the top of the form. This personal information is crucial for identifying the patient.
  3. Review the pathology section carefully. Familiarize yourself with how autonomic dysreflexia can affect blood pressure and understand its implications.
  4. In the symptoms section, list any observed symptoms such as sweating or elevated blood pressure. Use bullet points for clarity.
  5. Proceed to fill out the treatment essential steps. Follow each instruction methodically, ensuring that monitoring blood pressure is prioritized.
  6. For key points and precautions, highlight critical notes such as not leaving the patient alone during a medical emergency.

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Researchers encourage medical students to remember the main potential AD triggers using the 6 Bs- bladder, , boils, bones, babies and back passage. Although this may sound a bit crude, these encompass and summarize potential triggers and can be helpful for individuals to recognize symptoms in themselves.
Autonomic dysreflexia is a potentially life-threatening syndrome involving an abnormal, overreaction of your autonomic nervous system to painful sensory input. It most often happens after a spinal cord injury at or above the sixth thoracic vertebrae (T6).
The 2024 AO Spine Praxis guidelines recommend maintaining mean arterial pressure (MAP) of at least 7580 mmHg for the first 37 days to optimize spinal cord perfusion in acute traumatic SCI [3].
Autonomic dysreflexia is a disorder of autonomic nervous system dysregulation that occurs in patients with a spinal cord injury and that can result in life-threatening hypertension. It occurs in 20to 70% of patients, 1 month to 1 year after spinal cord injury.
Although it can be asymptomatic, the signs and symptoms of autonomic dysreflexia generally include a sudden increase in blood pressure, altered heart rate (reflex bradycardia), anxiety, blurred vision, headache, flushing and sweating (above the level of injury).

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