Autonomic dysreflexia (AD) is a dangerous rise in blood pressure in people with spinal cord injuries.
AD can be serious. If it is not treated right away, it can lead to seizures, stroke, and death. Treatment is aimed at finding and eliminating the problem that started the reaction.
Pain can cause an increase in blood pressure. In people with spinal lesions, pain may not be felt but can stimulate a physical reaction. In particular, local blood vessels shrink in response to the pain which increases blood pressure. Normally the brain will receive messages about the increase in blood pressure and take steps to lower the blood pressure back to normal. With AD, the message cannot reach the brain because of the spinal injury. As a result, the blood pressure continues to rise to dangerous levels.
AD can be caused by anything that would have been painful or physically uncomfortable before your spinal cord injury. The pain stimulation most often associated with AD is an overfull bladder. A blockage in your catheter, an infection, bladder spasms, or stones can all create pain stimulation.
Other factors that may cause pain stimulation include:
Last reviewedDecember 2013by Rimas Lukas, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.