How is autonomic dysreflexia managed in central cord syndrome (CCS)?

Updated: May 21, 2020
  • Author: Michelle J Alpert, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

See the list below:

  • Autonomic dysreflexia

    • Autonomic dysreflexia (AD) is a disorder of autonomic homeostasis.

    • Sensory input from bladder distension or other noxious stimuli induce generalized sympathetic activity, resulting in vasoconstriction and hypertension.

    • Proper medical management of the skin, bowel, and bladder should prevent most occurrences. A thorough search should be made for the nociceptive source, and when found, it should be removed/treated immediately.

    • If mechanical means do not resolve the syndrome, medical management should be directed toward the reduction of blood pressure.

    • Nifedipine and transdermal nitroglycerin are often used.


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