Autonomic hyperreflexia in spinal cord injury patient during percutaneous nephrolithotomy for renal stone: a case report

J Urol. 1991 Dec;146(6):1601-2. doi: 10.1016/s0022-5347(17)38180-6.


Autonomic hyperreflexia or autonomic dysreflexia is a syndrome seen in approximately 85% of all quadriplegic patients and constitutes the only medical emergency related to spinal cord injury. We report on a paraplegic patient with a C5 to C7 spinal cord injury who suffered autonomic hyperreflexia during percutaneous nephrolithotomy for a right renal stone. The reflex-induced hypertension subsided with termination of the operation, and administration of an alpha and beta-adrenergic blocking agent (labelatol hydrochloride). The stone was removed successfully by pyelolithotomy with the patient under general anesthesia 4 days later.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Autonomic Nervous System Diseases / drug therapy
  • Autonomic Nervous System Diseases / etiology*
  • Humans
  • Hypertension / etiology
  • Kidney Calculi / complications
  • Kidney Calculi / therapy*
  • Male
  • Nephrostomy, Percutaneous / adverse effects*
  • Reflex, Abnormal*
  • Spinal Cord Injuries / complications*