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Orthostatic hypotension-induced autonomic dysreflexia

Department of Neurology, University of Maryland School of Medicine, Baltimore, MD.

Three patients with chronic traumatic cervical myelopathy had severe orthostatic hyperhidrosis. Orthostatic challenge revealed that hypotension preceded hyperhidrosis, hypertension, and chills, all manifestations of autonomic dysreflexia. Treatment of orthostatic hypotension with fludrocortisone acetate relieved these symptoms. Therefore, orthostatic hypotension may trigger autonomic dysreflexia and the usual way of managing such patients, propping them upright, may be counterproductive.

Address correspondence and reprint requests to Dr. Khurana, Department of Neurology, University of Maryland School of Medicine, Baltimore, MD 21201.

Received July 21, 1986. Accepted for publication in final form October 17, 1986.

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