Autonomic Dysfunction



- Discussion:
    - HTN from bladder or bowel distension or from renal calculi;
    - sensitivity to succinyl choline (hyperkalemia)
    - increase susceptibility to pulmonary edema;
    - can follow upper and lower spinal cord injuries;
    - related to bladder overdistension or fecal impaction and manifests as with pounding HA, (from severe hypertension), anxiety, profuse head
         and neck sweating, nasal obstruction, and blurred vision;
    - urinary catheterization or rectal disimpaction and supportive treatment will usually relieve the symptoms;
    - if not procardia 10mg is given SL, followed by Dibenzylene (10 mg) administered daily for prophylaxis;
    - syndrome is often triggered by the stimulation of the dermatomes or muscles innervated by nerves below the spinal-cord lesion.
    - treatment options include labetalol, phentolamine, and sodium nitroprusside



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Friday, September 9, 2011 11:26 am