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Autonomic hyperreflexia - Overview

Definition of Autonomic hyperreflexia:

Autonomic hyperreflexia is a reaction of the autonomic (involuntary) nervous system to over-stimulation. This reaction may include high blood pressure, change in heart rate, skin color changes (paleness, redness, blue-grey skin color), and excessive sweating.

Causes, incidence, and risk factors:

The most common cause of autonomic hyperreflexia is spinal cord injury. In this condition, types of stimulation that the are tolerated by healthy people create an excessive response from the person's nervous system.

Other causes include medication side effects, use of illegal stimulants such as cocaine and amphetamines, Guillain-Barre syndrome (a severe form of paralysis which can lead to respiratory failure), subarachnoid hemorrhage (a form of brain bleeding), severe head trauma, and other brain injuries.

The following conditions share many similar symptoms with autonomic hyperreflexia, but have a different cause:

  • Carcinoid syndrome -- a disease caused by abnormalities of hormone-producing cells in the lungs and the gut
  • Neuroleptic malignant syndrome -- a condition characterized by muscle stiffness, high fever, and drowsiness, which can be caused by some antipsychotic and anesthesia medications
  • Serotonin syndrome -- an abnormal release of serotonin, a brain chemical
  • Thyroid storm -- a condition caused by too much production of thyroid hormone
  • Reviewed last on: 5/29/2008
  • Daniel B. Hoch, PhD, MD, Assistant Professor of Neurology, Harvard Medical School, Department of Neurology, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Khastgir J, Drake MJ, Abrams P. Recognition and effective management of autonomic dysreflexia in spinal cord injuries. Expert Opin Pharmacother. 2007;8(7):945-56.

Kirshblum SC, Priebe MM, Ho CH, Scelza WM, Chiodo AE, Wuermser LA. Spinal cord injury mediicne. 3. Rehabilitation phase after acute spinal cord injury. Arch Phys Med Rehabil. 2007;88(3Suppl1):S62-70.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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