title: Autonomic dysreflexia presenting as a severe headache.
abstract: Hypertension, bradycardia, and severe headache have been associated with autonomic dysreflexia. Autonomic dysreflexia affects those with spinal transection above the level of T6 after plastic changes of the afferent pathways. This restructuring in the presence of noxious stimuli below the level of the lesion leads to autonomic dysreflexia. The onset of the first episode of autonomic dysreflexia has been documented as soon as 30 days and as late as 13 years after the injury. This report presents a case study of a paraplegic man 8 years after injury with autonomic dysreflexia associated with a urinary tract infection.
authors.affiliation: Department of Emergency Medicine, New York Hospital Medical Center of Queens, Flushing, NY 11355-5095, USA.
authors.forename: W A
authors.initials: WA
authors.lastname: McClain
authors.forename: C P
authors.initials: CP
authors.lastname: Shields
authors.forename: D M
authors.initials: DM
authors.lastname: Sixsmith
mesh_terms: D000328:Adult; D001342:Autonomic Nervous System Diseases / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D006261:Headache / Q000209:etiology*; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000150:complications; D014552:Urinary Tract Infections / Q000150:complications