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Autonomic dysreflexia in multiple sclerosis.

Anne M Bateman1, Gary D Goldish

  • 1Veteran Affairs Medical Center, Minneapolis, Minnesota 55417, USA. vhaminbatema@med.va.gov

The Journal of Spinal Cord Medicine
|April 10, 2002
PubMed
Summary

Autonomic dysreflexia (AD), a serious condition, can occur in multiple sclerosis (MS) patients due to spinal cord lesions. Awareness of AD risks among healthcare providers caring for MS patients is critically low.

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Area of Science:

  • Neurology
  • Clinical Medicine

Background:

  • Autonomic dysreflexia (AD) is a known complication in spinal cord injury (SCI).
  • Its occurrence in multiple sclerosis (MS) is less documented but possible with thoracic spinal cord lesions.
  • Lesions interrupting inhibitory pathways can precipitate AD in MS patients.

Observation:

  • A case report details a patient with MS experiencing classic signs and symptoms of AD.
  • A survey of clinicians caring for MS patients revealed limited awareness and experience with AD in this population.
  • 45% of surveyed clinicians were unaware of AD risk in MS patients.

Findings:

  • AD is likely underrecognized in the MS population.
  • Clinician awareness of AD as a potential complication of MS is significantly limited.
  • Only 10% of surveyed clinicians had encountered AD in their MS patients.

Implications:

  • Increased awareness and education regarding AD in MS are crucial for timely diagnosis and management.
  • This condition, though potentially less common than in SCI, represents a serious, life-threatening risk for MS patients.
  • Further research is needed to understand the prevalence and specific risk factors for AD in MS.

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