Abstract
Cystoscopic procedures were performed on 102 patients with histories of traumatic spinal cord lesion; 57 patients had sensorimotor levels above T7, and the remaining 45 patients had levels below T7. In 40 of the 57 patients (70 per cent) with levels above T7, signs and symptoms of autonomic hyperreflexia were seen during bladder distension and cystoscopy; the remaining 17 of these patients (30 per cent) did not have this response. No autonomic hyperreflexia was seen during cystoscopy in any of the 45 patients with sensorimotor levels below T7.
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Barbaric, Z L (1976). Autonomic dysreflexia in patients with spinal cord lesions: complications of voiding cystourethrography and ileal loopography. Am. J. Roentgenol., 127, 293–295.
Bors, E (1956). The challenge of quadriplegia. Bull. Los Angeles Neurol. Soc. 21, 105–123.
Bors, E (1957). Neurogenic bladder. Urol. Survey, 7, 177–250.
Bors, E & Comarr, A E (1971). Neurological Urology. University Park Press, Baltimore, pp. 86–90.
Campbell, M F & Harrison, J H (1970). Urology. Saunders, Philadelphia, 3rd edition, pp. 1360–1363.
Desmond, J (1970). Paraplegia: problems confronting the anaesthesiologist. Can. Anaesth. Soc. J., 17, 435–451.
Feustel, D (1976). Autonomic hyperreflexia. Amer. J. Nur., 76, 228–230.
Guttmann, L (1976). Spinal Cord Injuries. Blackwell Scientfic Publication, Oxford, 2nd edition, pp. 352–367.
Guttmann, L & Whitteridge, D, (1947). Effects of bladder distention on autonomic mechanisms after spinal cord injuries. Brain, 70, 361–404.
Head, H & Riddoch, G (1917). The automatic bladder, excessive sweating and some other reflex conditions, in gross injuries of the spinal cord. Brain, 40, 188–263.
Johnson, B, Thomason, R, Pallares, V & Sadove, M S (1975). Autonomic hyperreflexia: A review. Mil. Med. 140, 345–349.
Kendrick, W W, Scott, J W Jousse, A T & Botterell, E H (1953). Reflex sweating and hypertension in traumatic transverse myelitis. Treatment Serv. Bull. (Ottawa), 8, 437–448.
Kurnick, N B (1956). Autonomic hyperreflexia and its control in patients with spinal cord lesions. Ann. Int. Med., 44, 678–686.
Lapides, J & Lovegrove, R H (1965). Urinary vesicovascular reflex. J. Urolog., 94, 397–401.
Nieder, R M, O'Higgins, J W & Aldrete, J A (1970). Autonomic hyperreflexia in urologic surgery. J.A.M.A, 213, 867–869.
Quimby, C W, Williams, R N & Greifenstein, F E (1973). Anesthetic problems of the acute quadriplegic patient. Anesth. Analg. (Cleveland), 52, 333–340.
Sabiston, D C (1972). Textbook of Surgery. Saunders, Philadelphia, 10th edition, pp. 1528–1536.
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Snow, J., Sideropoulos, H., Kripke, B. et al. Autonomic hyperreflexia during cystoscopy in patients with high spinal cord injuries. Spinal Cord 15, 327–332 (1978). https://doi.org/10.1038/sc.1977.49
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DOI: https://doi.org/10.1038/sc.1977.49
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