Autonomic Dysreflexia: A Clinical Rehabilitation Problem

Autonomic dysreflexia, or hyperreflexia, is a life-threatening condition that can occur in a person with a spinal cord injury at or above the T6 level. The classic signs and symptoms are severe hypertension, pounding headache, and diaphoresis. Prevention is the key to avoiding this disease process. This article reviews the pathophysiology, precipitating factors, signs and symptoms, nursing management, and effects of the problem. All healthcare providers must be aware of this condition in order to prevent permanent impairments in clients who may experience it.