Autonomic Hyper-Reflexia — Suppression with Alpha-Adrenergic Blocking Agents

AUTONOMIC hyper-reflexia is a complication of spinal-cord transection. It has an 85 per cent prevalence in quadriplegic patients1 and may lead to convulsions, intracranial hemorrhage and death. Cutaneous and visceral stimuli may evoke the clinical spectrum, which varies from mild paroxysmal episodes to severe chronic dysfunction. This report presents two cases in which symptoms were controlled by means of alpha-adrenergic blocking agents.Case ReportsCase 1. A 24-year-old man was admitted to the hospital with quadriplegia, with sensory perception to the 7th cervical segment, and perineal urethral stoma. A urinary infection associated with autonomic hyper-reflexia occurring up to 20 times . . .