{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:00:50Z","timestamp":1787169650840,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>We present a case of severe autonomic dysreflexia (AD) progressing to cardiac arrest and death under isoflurane anesthesia. Though AD in chronic cervical spine injury is a common entity, occurrence of such an event in the stage of flaccid paralysis in lower dorsal spinal cord injury is rare, especially under general anesthesia. Manipulation of urinary bladder catheter under light plane of isoflurane anesthesia might be the precipitating factor. Increasing concentration of isoflurane failed to abort the episode or might have aggravated it. High level of suspicion and vigilance is necessary to prevent, diagnose and treat such a condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0970-9185.111652","type":"journal-article","created":{"date-parts":[[2013,5,13]],"date-time":"2013-05-13T02:58:05Z","timestamp":1368413885000},"page":"241-243","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Severe autonomic dysreflexia induced cardiac arrest under isoflurane anesthesia in a patient with lower thoracic spine injury"],"prefix":"10.4103","volume":"29","author":[{"given":"Amit","family":"Jain","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babita","family":"Ghai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kajal","family":"Jain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeetinder K","family":"Makkar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kishore","family":"Mangal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supriya","family":"Sampley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-21-20260210","first-page":"1","article-title":"Autonomic dysreflexia in traumatic myelopathy","volume":"59","author":"Kewalramani","year":"1980","journal-title":"Am J Phys Med"},{"key":"R2-21-20260210","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1097\/00000542-195405000-00008","article-title":"Hypertension during anaesthesia in patients with spinal cord injuries","volume":"15","author":"Cilberti","year":"1954","journal-title":"Anesthesiology"},{"key":"R3-21-20260210","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1038\/sj.sc.3100867","article-title":"Autonomic dysreflexia","volume":"37","author":"Karlsson","year":"1999","journal-title":"Spinal Cord"},{"key":"R4-21-20260210","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1682\/JRRD.2005.10.0159","article-title":"Assessment of autonomic dysfunction following spinal cord injury: Rationale for additions to International Standards for Neurological Assessment","volume":"44","author":"Krassioukov","year":"2007","journal-title":"J Rehabil Res Dev"},{"key":"R5-21-20260210","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1038\/sj.sc.3100359","article-title":"Autonomic hyperreflexia associated with recurrent cardiac arrest: Case report","volume":"35","author":"Colachis","year":"1997","journal-title":"Spinal Cord"},{"key":"R6-21-20260210","first-page":"141","article-title":"Cardiac irregularities during labor in paraplegic women","volume":"3","author":"Guttmann","year":"1965","journal-title":"Paraplegia"},{"key":"R7-21-20260210","doi-asserted-by":"crossref","first-page":"S729","DOI":"10.1161\/CIRCULATIONAHA.110.970988","article-title":"Part 8: Adult advanced cardiovascular life support: 2010 American Heart Association Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care","volume":"122","author":"Neumar","year":"2010","journal-title":"Circulation"},{"key":"R8-21-20260210","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1053\/mr.2000.3848","article-title":"Cardiovascular consequences of loss of supraspinal control of the sympathetic nervous system after spinal cord injury","volume":"81","author":"Teasell","year":"2000","journal-title":"Arch Phys Med Rehabil"},{"key":"R9-21-20260210","first-page":"355","article-title":"Fatal cerebral hemorrhage due to autonomic dysreflexia in a tetraplegic patient. 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