Author Credentials

Apurva Bhatt, MSVI, Brit Moore, MD, Talal Asif, MD, Kristy E. Steigerwalt, PharmD, M.L.S, Rebecca R. Pauly, MD


spinal cord injury, autonomic dysreflexia, diaphoresis, hypertension


Internal Medicine | Male Urogenital Diseases | Medical Education | Medical Neurobiology | Nervous System Diseases | Neurology | Neurosciences | Pathological Conditions, Signs and Symptoms | Reproductive and Urinary Physiology | Urology


Autonomic dysreflexia (AD) is a life threatening condition affecting patients with spinal cord lesions T6 level and above. A 51 year old male with a history of paraplegia due to a C6 spinal cord injury (30 years prior) presented with recurrent debilitating episodic diaphoresis, hypertension, low body temperature, and bradycardia. Previous hospitalizations presumed sepsis from UTI to be the etiology, however on further evaluation his symptoms were consistent with undiagnosed AD. This article describes a unique case presentation and reviews AD in depth, including the etiology, pathophysiology and management.