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.