Autonomic dysreflexia during urodynamics in children and adolescents with spinal cord injury or severe neurologic disease

With appropriate monitoring and education, AD is easily recognized and managed conservatively. We found an increased risk of patients developing subsequent AD episodes after an initial episode. Patients who did not have autonomic dysreflexia during initial UDS did not experience autonomic dysreflexia on subsequent UDS. We did not observe autonomic dysreflexia occurring in children with transverse myelitis or encephalomyelitis.Results# of patients13# of studies41Average studies per patient3.2Average age at study12.4Number of episodes of AD1 patient with Thoracic SCI: 7 episodes of AD of 8 UDS1 patient with Cervical SCI: 2 episodes of AD of 7 UDS