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Headache attributed to autonomic dysreflexia: An underrecognized clinical entity.
MedLine Citation:
PMID:  21860009     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: The recognition and the management of headache attributed to autonomic dysreflexia after spinal cord injury (SCI) are challenging issues. Given this, I systematically reviewed the literature to establish the features of the headache attributed to autonomic dysreflexia after SCI.
METHODS: This review included all articles that addressed any feature of headache attributed to autonomic dysreflexia after SCI. The literature search addressed publications from 1950 until April 2010. The literature search was conducted using MEDLINE, CINAHL, EMBASE, and PsycINFO® databases. The literature search was limited to only articles written in English.
RESULTS: Of the 273 publications captured in all 4 databases, 45 articles fulfilled our inclusion and exclusion criteria. Typically, the headache attributed to autonomic dysreflexia is a sudden-onset, severe headache accompanied by several signs and symptoms including increased blood pressure, altered heart rate, and diaphoresis cranial to the level of SCI, which is triggered by different noxious and nonnoxious stimuli. However, clinicians need to be aware of other headache features and the variety of potential triggers associated with the headache attributed to autonomic dysreflexia.
CONCLUSIONS: The greater awareness of this clinical entity among clinicians, in particular neurologists, is crucial for early recognition and proper management of episodes of autonomic dysreflexia to prevent its complications. Neurology® 2011;77:792-798.
Authors:
Julio C Furlan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurology     Volume:  77     ISSN:  1526-632X     ISO Abbreviation:  Neurology     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  792-8     Citation Subset:  AIM; IM    
Affiliation:
Toronto Western Research Institute, 399 Bathurst Street, McL 12-407, Toronto, Ontario, Canada M5T 2S8jcfurlan@gmail.com.
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