Articles  |   October 2017
ACE Question
Article Information
Central and Peripheral Nervous Systems / Education / CPD / Articles
Articles   |   October 2017
ACE Question
ASA Monitor 10 2017, Vol.81, 48.
ASA Monitor 10 2017, Vol.81, 48.
A patient with a history of spinal cord injury at the T4 level presents to the hospital in labor at 37 weeks’ gestation. Which of the following is the most likely associated sign or symptom of autonomic hyperreflexia in this patient?
Autonomic hyperreflexia, also called autonomic dysreflexia, is a life-threatening complication of spinal cord injury in patients who have chronic spinal cord lesions at or above the T5-6 level. Afferent noxious or painful stimuli originating below the level of the spinal cord lesion enter the dorsal horn of the cord and are propagated within the sympathetic chain in both cephalad and caudad directions.
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