Treatment of autonomic dysreflexia

Autonomic dysreflexia is a medical emergency that can occur in people with spinal cord injury at or above the sixth thoracic (T6) level.

It is a sudden and severe rise in blood pressure that can result in intracranial haemorrhage, fits, arrhythmias, hypertensive encephalopathy and even death. This potentially life-threatening condition requires immediate and decisive action.

These resources support clinicians to understand and treat autonomic dysreflexia.

Treatment of autonomic dysreflexia for adults and adolescents with spinal cord injuries

Published: February 2014. Next review 2023.

Learn the pathophysiology of autonomic dysreflexia and understand how to treat it.

Download the Treatment of autonomic dysreflexia for adults and adolescents with spinal cord injuriesguide (PDF 4.1 MB)

Treatment algorithm for autonomic dysreflexia (hypertensive crisis) in spinal cord injury

Published: October 2010. Next review: 2023.

Follow the process to treat autonomic dysreflexia.

Download the algorithm for autonomic dysreflexia (hypertensive crisis) in spinal cord injury (PDF 59.5 KB)

A summary of autonomic dysreflexia symptoms, causes and treatment is available as a fold-out card. Email ACI-Spinal@health.nsw.gov.au for more information.

Training videos on autonomic dysreflexia

Watch these videos by Dr James Middleton to learn more about autonomic dysreflexia.

Part 1: What is autonomic dysreflexia?

Part 2: Definitions and causes

Part 3: Pathophysiology

Part 4: Signs and symptoms

Part 5: Management

Part 6: Prevention

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