title: Epidural analgesia and autonomic hyperreflexia: a case report.
abstract: Autonomic hyperreflexia is a serious complication for paraplegic patients. A paraplegic woman in early labor presented with autonomic hyperreflexia. After epidural analgesia was established, hyperreflexia resolved. When the analgesic wore off, hyperreflexia returned. Continuous epidural analgesia may be helpful for pregnant women who are susceptible to autonomic hyperreflexia.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina, Chapel Hill.
authors.forename: V L
authors.initials: VL
authors.lastname: Katz
authors.forename: J M
authors.initials: JM
authors.lastname: Thorp
authors.forename: R C
authors.initials: RC
authors.lastname: Cefalo
mesh_terms: D000328:Adult; D015360:Analgesia, Epidural; D001342:Autonomic Nervous System Diseases / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D010264:Paraplegia / Q000150:complications*; D011247:Pregnancy; D011248:Pregnancy Complications; D012021:Reflex, Abnormal / Q000187:drug effects