A patient who sustained a cervical spinal cord injury is scheduled for fusion surgery in 2 days.Suddenly he develops a blood pressure of 250/120,a severe headache,blurred vision,and bradycardia.What is the explanation for these clinical manifestations?
A) He is experiencing acute anxiety regarding his upcoming surgery.
B) He is developing spinal shock.
C) He is developing autonomic hyperreflexia.
D) He is experiencing parasympathetic areflexia.

Question

Quizplus · Accepted Answer

The patient is experiencing autonomic hyperreflexia, which is a potentially life-threatening complication that can occur in individuals with a spinal cord injury at or above the level of T6. It is caused by an imbalance in the autonomic nervous system response, resulting in a sudden increase in blood pressure, severe headache, blurred vision, and bradycardia. This can occur in response to stimuli below the level of injury like a full bladder or bowel. Immediate intervention is required to prevent a stroke or other serious complications.

A Patient Who Sustained a Cervical Spinal Cord Injury Is