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After a spinal cord injury (SCI), supraspinal influence on the ANS is disrupted, leading to sympathetic blunting and parasympathetic dominance resulting in cardiac dysrhythmias, systemic hypotension, bronchoconstriction, copious respiratory secretions and uncontrolled bowel, bladder, and sexual dysfunction.
Signs and Symptoms Raised BP, bradycardia, pounding headache, flushing, sweating or blotching above level of injury; pale, cold, goosebumps below level of injury.
The disruption of connections between higher brain centers and the spinal cord, or the impaired autonomic nervous system itself, manifests a broad range of autonomic abnormalities. This includes compromised cardiovascular, respiratory, urinary, gastrointestinal, thermoregulatory, and sexual activities.
Some autonomic reflexes may be processed at the level of the spinal cord. These include the micturition reflex (urination) and the defecation reflex. Although these reflexes are subject to influence from higher nervous centers, they may occur without input from the brain.
If you are experiencing an episode of Autonomic Dysreflexia First, you should get into a sitting position or elevate your head as much as possible. Changing position can drop your blood pressure. Since bladder issues are the most common cause of AD, you or a caregiver should check your bladder.
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Autonomic dysreflexia (AD) 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).
Briefly, autonomic dysreflexia develops in individuals with a neurologic level of SCI at or above the sixth thoracic vertebral level (T6). Autonomic dysreflexia causes an imbalanced reflex sympathetic discharge, leading to potentially life-threatening hypertension.
Your autonomic nervous system includes a network of nerves that extend throughout your head and body. Some of those nerves extend directly out from your brain, while others extend out from your spinal cord, which relays signals from your brain into those nerves.

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