Alleviating Autonomic Dysreflexia after Spinal Cord Injury

Abstract

Spinal cord injury (SCI) is a devastating event sustained by our servicemembers and as many as 1.3 million Americans that results in the disruption of normal autonomic function, including cardiovascular control. Up to 70%-90% of patients who have sustained a high SCI (above thoracic level 6 of spinal cord) suffer from the serious and life-threatening complication of autonomic dysreflexia. Autonomic dysreflexia manifests as sudden and extreme hypertension that is usually triggered by an annoying noxious or non-noxious stimulus below the level of injury, frequently initiated in the bladder or bowel. It is a key contributor to cardiovascular disease, the leading cause of morbidity and mortality for chronically injured individuals with SCI. However, the only current treatments available to treat autononic dysreflexia are palliative and involve pharmacological vasodilators that merely help to manage the symptoms of autonomic dysreflexia after an episode has already been initiated. Thus, developing treatments to help prevent the development of this syndrome or decrease its severity is highly important.

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Document Details

Document Type
Technical Report
Publication Date
Dec 01, 2017
Accession Number
AD1051149

Entities

People

  • Veronica J. Tom

Organizations

  • Drexel University

Tags

DTIC Thesaurus Topics

  • Arteries
  • Autonomic Nervous System
  • Blood
  • Blood Flow
  • Blood Vessels
  • Brain
  • Cardiac Arrhythmias
  • Cardiovascular Diseases
  • Cardiovascular Physiological Phenomena
  • Cardiovascular Physiological Processes
  • Cardiovascular System
  • Chemistry
  • Heart Rate
  • Neurons
  • Neurosciences
  • Pain
  • Peptides
  • Peripheral Nervous System
  • Spinal Injuries
  • Stem Cells
  • Vascular Diseases

Fields of Study

  • Medicine

Readers

  • Cardiovascular Physiology
  • Neurotrauma and Rehabilitation Medicine.