Abstract
Patients with cervical or high thoracic cord lesions frequently develop autonomic hyperreflexia during urologic procedures. The resulting severe hypertension may increase the danger of cerebral vascular accidents and cardiovascular derangement. Frequent monitoring of blood pressure is essential, and the hyperreflexia may be treated satisfactorily with ganglionic blocking agents. Sympatholytic agents have been ineffective. Prophylactic spinal or epidural anesthesia are alternative methods of abolishing this reflex.
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