Autonomic dysreflexia

Krivoborodov G.G., Yefremov N.S., Bolotov A.D., Gontar A.A., Shirin D.A.

1) Department of Urology and Andrology in N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation, Moscow, Russia; 2) SD “Russian Gerontological Scientific-Clinical Center”, N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation, Moscow, Russia

Autonomous dysreflexia (AD) is a life-threatening condition that occurs in patients with spinal cord injury at the Th6 level and above. As a result of AD, dysregulation of the autonomic nervous system occurs, which leads to an uncoordinated sympathetic reaction, and can result in a potentially life-threatening increase in blood pressure, a hypertensive crisis, and even death. In about 85% of cases of AD, the cause is bladder overdistension. Urologists need to understand the clinical features of this condition and how to help patients with AD.

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About the Authors

Corresponding author: G.G. Krivoborodov – Ph.D., MD, professor at the Department of Urology and Andrology in N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation, Head of the Department of Urology of SD “Russian Gerontological Scientific-Clinical Center”, N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation, Moscow, Russia; e-mail: dr.krivoborodov@yandex.ru

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