{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:48:37Z","timestamp":1787071717449,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:p>\n                    A young female having complaints of quadriparesis along with bladder and bowel involvement, diagnosed to have osseous destruction of C\n                    <jats:sub>4<\/jats:sub>\n                    , C\n                    <jats:sub>6<\/jats:sub>\n                    , C\n                    <jats:sub>7<\/jats:sub>\n                    , T\n                    <jats:sub>2<\/jats:sub>\n                    vertebral bodies with pre- and para-vertebral abscess, was taken up for anterolateral decompression and fusion of cervical spine. She presented with anxiety, agitation, sweating and headache and was in hypertensive crisis which was refractory to antihypertensives, anxiolytics and analgesics but showed a reasonable response to intravenous dexmedetomidine and finally responded dramatically to rectal evacuation. Autonomic dysreflexia was suspected with stimulus arising from distended rectum as all other causes of hypertension were ruled out.\n                  <\/jats:p>","DOI":"10.4103\/0019-5049.195490","type":"journal-article","created":{"date-parts":[[2016,12,22]],"date-time":"2016-12-22T04:48:39Z","timestamp":1482382119000},"page":"955-957","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["An unusual presentation of autonomic dysreflexia in a patient with cold abscess of cervical spine for anterolateral decompression"],"prefix":"10.4103","volume":"60","author":[{"given":"Susmita","family":"Sarangi","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, Deen Dayal Upadhyay Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dipali","family":"Taneja","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Deen Dayal Upadhyay Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhavna","family":"Saxena","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Deen Dayal Upadhyay Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20251205","doi-asserted-by":"crossref","first-page":"8","DOI":"10.5312\/wjo.v6.i1.8","article-title":"Rehabilitation of spinal cord injuries","volume":"6","author":"Nas","year":"2015","journal-title":"World J Orthop"},{"key":"R2-20251205","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1179\/204577211X13207446293695","article-title":"International standards for neurological classification of spinal cord injury (revised 2011)","volume":"34","author":"Kirshblum","year":"2011","journal-title":"J Spinal Cord Med"},{"key":"R3-20251205","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1172\/JCI112611","article-title":"Use of alpha 2 adrenoreceptor agonists and antagonists in the functional assessment of the sympathetic nervous system","volume":"78","author":"Robertson","year":"1986","journal-title":"J Clin Invest"},{"key":"R5-20251205","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1016\/j.apmr.2008.10.017","article-title":"A systematic review of the management of autonomic dysreflexia after spinal cord injury","volume":"90","author":"Krassioukov","year":"2009","journal-title":"Arch Phys Med Rehabil"},{"key":"R6-20251205","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1089\/089771503767869944","article-title":"Autonomic dysreflexia in acute spinal cord injury: An under-recognized clinical entity","volume":"20","author":"Krassioukov","year":"2003","journal-title":"J Neurotrauma"},{"key":"R7-20251205","first-page":"13","article-title":"Anaesthetic and intensive care management of traumatic cervical spine injury","volume":"52","author":"Umeshwara","year":"2008","journal-title":"Indian J Anaesth"},{"key":"R8-20251205","author":"Middleton","year":"2002","journal-title":"NSW Agency for Clinical Innovation. 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