Autonomic Nervous System Dysfunction after Spinal Cord Injury

Authors

  • Vanessa Roque Interna de formação específica, Serviço de Medicina Física e de Reabilitação, Centro Hospitalar de São João, Porto, Portugal
  • Inês Cunha nterna de formação específica, Serviço de Medicina Física e de Reabilitação do Centro Hospitalar do Porto, Porto, Portugal
  • Afonso Rocha Assistente Hospitalar, Serviço de Medicina Física e de Reabilitação, Centro Hospitalar de São João, Porto, Portugal
  • Maria João Andrade Chefe de Serviço de Medicina Física e de Reabilitação, Centro Hospitalar do Porto, Porto, Portugal

DOI:

https://doi.org/10.25759/spmfr.111

Abstract

Spinal cord injury is a devastating health problem posing, along its course, huge challenges to the doctor and the patient. Few studies have addressed autonomic dysfunctions after spinal cord injury, particularly the diagnostic perspectives and therapeutic interventions. The joint committee of the American Spinal Injury Association (ASIA) and the International Spinal Cord Society (ISCoS) recommends the recognition and assessment of the following conditions as autonomic nervous system dysfunctions after spinal cord injury: Neurogenic Shock, Cardiovascular Dyfunctions (cardiac dysrhythmias and orthostatic hypotension), Autonomic Dysreflexia, Temperature Dysregulation and Sweating Disturbances. This article discusses the pathophysiology, diagnosis, and treatment of the different autonomic nervous system dysfunctions after spinal cord injury, in terms of the global rehabilitation of the spinal cord injured.

Keywords: Autonomic Nervous System Diseases; Spinal Cord Injuries. 

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How to Cite

1.
Roque V, Cunha I, Rocha A, Andrade MJ. Autonomic Nervous System Dysfunction after Spinal Cord Injury. SPMFR [Internet]. 2014 Jan. 27 [cited 2025 Jan. 15];24(2):43-51. Available from: https://spmfrjournal.org/index.php/spmfr/article/view/111

Issue

Section

Review Article