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Rapid Communication| Volume 40, ISSUE 3, P172-177, May 2001

Autonomic dysreflexia and foot and ankle surgery

  • Author Footnotes
    1 Attending Staff Saint Barnabas Medical Center, Department of Surgery and Consultants Kessler Institute for Rehabilitation.
    Eric L. Kolodin
    Correspondence
    Address correspondence to: Eric L. Kolodin, DPM, Tor Plaza 35-37 Progress Street, Suite A-3, Edison, NJ 08820.
    Footnotes
    1 Attending Staff Saint Barnabas Medical Center, Department of Surgery and Consultants Kessler Institute for Rehabilitation.
    Affiliations
    From Saint Barnabas Medical Center, Livingston, NJ and Kessler Institute for Rehabilitation, West Orange, NJ.
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  • Author Footnotes
    1 Attending Staff Saint Barnabas Medical Center, Department of Surgery and Consultants Kessler Institute for Rehabilitation.
    Thomas D. Vitale
    Footnotes
    1 Attending Staff Saint Barnabas Medical Center, Department of Surgery and Consultants Kessler Institute for Rehabilitation.
    Affiliations
    From Saint Barnabas Medical Center, Livingston, NJ and Kessler Institute for Rehabilitation, West Orange, NJ.
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  • Author Footnotes
    2 Submitted while Chief Second Year Residents, Saint Barnabas Medical Center.
    Karyn L. Goldberg
    Footnotes
    2 Submitted while Chief Second Year Residents, Saint Barnabas Medical Center.
    Affiliations
    From Saint Barnabas Medical Center, Livingston, NJ and Kessler Institute for Rehabilitation, West Orange, NJ.
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  • Author Footnotes
    2 Submitted while Chief Second Year Residents, Saint Barnabas Medical Center.
    James D. Giannakaros
    Footnotes
    2 Submitted while Chief Second Year Residents, Saint Barnabas Medical Center.
    Affiliations
    From Saint Barnabas Medical Center, Livingston, NJ and Kessler Institute for Rehabilitation, West Orange, NJ.
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  • Author Footnotes
    3 Director of Spinal Cord Injury Service Kessler Institute for Rehabilitation, Associate Professor Department of Physical Medicine and Rehabilitation, UMDNJ-New Jersey Medical School.
    Steven Kirshblum
    Footnotes
    3 Director of Spinal Cord Injury Service Kessler Institute for Rehabilitation, Associate Professor Department of Physical Medicine and Rehabilitation, UMDNJ-New Jersey Medical School.
    Affiliations
    From Saint Barnabas Medical Center, Livingston, NJ and Kessler Institute for Rehabilitation, West Orange, NJ.
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  • Author Footnotes
    4 Outpatient Spinal Cord Injury Clinic Coordinator, Kessler Institute for Rehabilitation.
    Susan J. Voorman
    Footnotes
    4 Outpatient Spinal Cord Injury Clinic Coordinator, Kessler Institute for Rehabilitation.
    Affiliations
    From Saint Barnabas Medical Center, Livingston, NJ and Kessler Institute for Rehabilitation, West Orange, NJ.
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  • Author Footnotes
    5 Department of Urology, Kessler Institute for Rehabilitation, Department of Surgery, UMDNJ-New Jersey Medical School.
    Todd A. Linsenmeyer
    Footnotes
    5 Department of Urology, Kessler Institute for Rehabilitation, Department of Surgery, UMDNJ-New Jersey Medical School.
    Affiliations
    From Saint Barnabas Medical Center, Livingston, NJ and Kessler Institute for Rehabilitation, West Orange, NJ.
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  • Author Footnotes
    1 Attending Staff Saint Barnabas Medical Center, Department of Surgery and Consultants Kessler Institute for Rehabilitation.
    2 Submitted while Chief Second Year Residents, Saint Barnabas Medical Center.
    3 Director of Spinal Cord Injury Service Kessler Institute for Rehabilitation, Associate Professor Department of Physical Medicine and Rehabilitation, UMDNJ-New Jersey Medical School.
    4 Outpatient Spinal Cord Injury Clinic Coordinator, Kessler Institute for Rehabilitation.
    5 Department of Urology, Kessler Institute for Rehabilitation, Department of Surgery, UMDNJ-New Jersey Medical School.
DOI:https://doi.org/10.1016/S1067-2516(01)80084-3
Autonomic dysreflexia and foot and ankle surgery
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      Autonomic dysreflexia is a syndrome of massive imbalance of reflex sympathetic discharge occurring in patients with spinal cord injury with a lesion above the splanchnic outflow (Thoracic 6). Autonomic dysreflexia is characterized by a sudden and severe rise in blood pressure and is potentially life threatening. Because the onset of this entity is rapid and the potential morbidity is severe, it is important for those caring for spinal cord injury patients to be aware of this syndrome. The paper presents a review of the literature, and familiarizes one with the diagnosis, pathophysiology, and treatment Two illustrative case reports are also presented.

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      References

        • The National SCI Statistical Center
        Spinal cord injury: facts and figures at a glance. University of Alabama at Birmingham National Spinal Cord Injury Center, April 1999
        • Maynard Jr., F.M.
        • Bracken M.B.
        • Creasey G.
        • Ditunno J.F.
        • Donovan W.H.
        • Ducker T.B.
        • Garber S.L.
        • Marino R.J.
        • et al.
        International standards for neurological and functional classification of spinal cord injury patients (revised).
        Spinal Cord. 1997; 35: 266-274
        • Thompson C.E.
        • Witham A.C.
        Paroxysmal hypertension in spinal cord injuries.
        N. Engl. J. Med. 1948; 239: 291-294
        • McGuire T.J.
        • Kumar V.N.
        Autonomie dysreflexia in the spinal cord injured: what physicians should know about this medical emergency.
        Postgrad. Med. 1986; 80: 81-84
        • McGuire T.J.
        • Kumar V.N.
        Autonomie dysreflexia in the spinal cord injured: what physicians should know about this medical emergency.
        Postgrad. Med. 1986; 80: 89
        • Mathia C.J.
        • Christiansen N.J.
        • Corbett J.L.
        • Frankel H.L.
        • Spalding J.M.K.
        Plasma catacholamines during paroxysmal neurogenic hypertension in quadriplegic man.
        Circ. Res. 1976; 39: 204-208
        • Young J.S.
        Use of Guanethidine in control of sympathetic hyper-reflexia in persons with cervical and thoracic lesions.
        Arch. Phys. Med. Rehabil. 1963; 44: 204-207
        • Kurnick N.B.
        Autonomic hyperreflexia and its control in patients with spinal cord lesions.
        Ann. Intern. Med. 1956; 44: 678-689
        • Erickson R.P.
        Autonomic hyperreflexia: pathophysiology and medical management.
        Arch. Phys. Med. Rehabil. 1980; 61: 431-439
        • Lindan R.
        • Joinca E.
        • Freehafer A.A.
        • Hazel C.
        Incidence and clinical features of autonomic dysreflexia in patients with spinal cord injuries.
        Paraplegia. 1980; 18: 285-292
        • Frankel H.L.
        • Mathias C.J.
        Cardiovascular aspects of autonomic dysreflexia since Guttmann and Whitteridge.
        Paraplegia. 1979; 17: 46
        • Clinical Practice Guidelines
        Acute management of autonomic dysreflexia.
        J. Spinal Cord Med. 1997; 20: 284-308
        • Maitz D.G.
        • Schreibman D.L.
        • Matjasko M.J.
        Katz J. Benumof J.L. Kadis L.B. Anesthesia and Uncommon Diseases. 3rd ed. W. B. Saunders, Philadelphia1990: 560-571
        • Eltorai I.M.
        • Wong D.H.
        • Lacerna M.
        • Comarr A.E.
        • Montroy R.
        Surgical aspects of autonomic dysreflexia.
        J. Spinal Cord Med. 1997; 20: 361-364
        • Goldstein I.
        • Lue T.
        • Padma N.H.
        • Rosen R.C.
        • Steers W.D.
        • Wicker P.A.
        Oral sildenafil in the treatment of erectile dysfunction.
        N. Engl. J. Med. 1998; 338: 1397-1404

      Additional References

        • Braddom R.L.
        • Rocco I.F.
        Autonomic dysreflexia, a survey of current treatment.
        Am. J. Phys. Med. Rehabil. 1991; 70: 234-241
        • Grossman E.
        • Messerli F.H.
        • Grodzicki T.
        • Kowey P.
        Should a mortorium be placed on sublingual nifedipine capsules given for hypertensive emergencies and pseudoemergencies.
        JAMA. 1996; 276: 1328-1330
        • Linsenmeyer T.
        • Campagnolo D.
        • Chou I-Hsin
        Silent autonomic dysreflexia during voiding in men with spinal cord injuries.
        J. Urol. 1996; 155: 519-522

      Article info

      Publication history

      Accepted: October 19, 2000
      Received: March 13, 2000

      Identification

      DOI: https://doi.org/10.1016/S1067-2516(01)80084-3

      Copyright

      © 2001 American College of Foot and Ankle Surgeons. All rights reserved. Published by Elsevier Inc. All rights reserved.

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