Treatment of autonomic dysreflexia for adults and adolescents with spinal cord injuries

Autonomic dysreflexia is a medical emergency that can occur in people with spinal cord injury at or above the sixth thoracic (T6) level.

It is a potentially life-threatening condition and requires immediate intervention. Failure to recognise and promptly treat this condition can result in cerebral haemorrhage, seizure, stroke, cardiac arrythmia and even death.

These resources support clinicians to understand and treat autonomic dysreflexia.

Treatment of autonomic dysreflexia for adults and adolescents with spinal cord injuries: A guide for clinicians in non-specialist units

Published: June 2024. Next review 2029.

Learn the pathophysiology of autonomic dysreflexia and understand how to treat it.

Download the Treatment of autonomic dysreflexia for adults and adolescents with spinal cord injuriesguide (PDF 549.0 KB)

Treatment algorithm for autonomic dysreflexia (hypertensive crisis) in spinal cord injury

Published: June 2024. Next review: 2029.

Follow the process to treat autonomic dysreflexia.

Download the algorithm for autonomic dysreflexia (hypertensive crisis) in spinal cord injury (PDF 161.5 KB)

A summary of autonomic dysreflexia symptoms, causes and treatment is available as a fold-out card. Email ACI-Spinal@health.nsw.gov.au for more information.

Training videos on autonomic dysreflexia

Watch these videos by Dr James Middleton to learn more about autonomic dysreflexia.

Part 1: What is autonomic dysreflexia?

Part 2: Definitions and causes

Part 3: Pathophysiology

Part 4: Signs and symptoms

Part 5: Management

Part 6: Prevention

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