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[QUOTE=Betterdaysforme;3655399]Dear Roadworker,

I think I know what this is but please explain. If it's what it sounds like I believe I have it too.


Hello Betterdaysforme, this is "steve1906" I thought you might want to read the info below. Have a good day, Steve

Autonomic hyperreflexia is a reaction of the autonomic (involuntary) nervous system to over-stimulation. This reaction may include high blood pressure, change in heart rate, skin color changes (pallor, redness, blue-grey coloration), and excessive sweating.

Causes Return to top

The most common cause of autonomic hyperreflexia is spinal cord injury. Stimuli which are otherwise tolerated in healthy people (such as filling of the urinary bladder) create an excessive response from the patient's nervous system.

Other causes include medication side effects, use of illegal stimulants such as cocaine and amphetamine, Guillain-Barre syndrome (a severe form of paralysis which can lead to respiratory failure), subarachnoid hemorrhage (a form of brain bleeding), severe head trauma, and other brain injuries.

The following conditions share many similar symptoms with autonomic hyperreflexia, but have a different cause:

* Carcinoid syndrome -- a disease caused by abnormalities of cells of the lungs and gut that produce hormones
* Thyroid storm -- a condition caused by too much production of thyroid hormone
* Neuroleptic malignant syndrome -- a condition characterized by muscle stiffness, high fever, and drowsiness, which can be caused by some antipsychotic medications and anesthetic agents
* Serotonin syndrome -- an abnormal release of serotonin, a brain chemical

Symptoms Return to top

Symptoms can include any or all of the following:

* Fever
* Goose bumps
* Flushing
* Lightheadedness or dizziness
* Bladder or bowel dysfunction
* Headache
* Profuse sweating
* Blurry vision
* Anxiety
* Nasal congestion
* Muscle spasm

Sometimes, despite a dangerous rise in blood pressure, no symptoms are present.

Exams and Tests Return to top

* High blood pressure
* Slow pulse or fast pulse

A complete neurological and medical examination must be performed. Patients must provide an accurate medication and drug history in order to help determine which tests are necessary.

Tests may include:

* Brain pictures including head CT or MRI
* Spine pictures, particularly MRI
* Lumbar puncture
* Blood and urine tests
* Toxicology screening (tests for any drugs, including medications, in the patient's bloodstream)
* X-rays
* EKG (measurement of the heart's electrical activity)
* Tilt-table testing (testing of blood pressure regulation as body position changes)

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