Sacral insufficiency stress fracture as etiology of positional autonomic dysreflexia: case report

Paraplegia. 1996 Mar;34(3):173-5. doi: 10.1038/sc.1996.31.


The medical literature is replete with case reports of the syndrome known as autonomic dysreflexia. Although the majority of cases are known to be induced by either bladder or bowel distention. there does exist a small number of cases in which the inciting stimulus is more obscure. In such cases, a comprehensive medical evaluation is necessary to ensure proper identification of the source of irritation and the appropriate medical management of the patient. We present a patient with a heretofore unreported suspected etiology of autonomic dysreflexia, axial loading of a sacral stress fracture.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Autonomic Nervous System Diseases / diagnosis
  • Autonomic Nervous System Diseases / etiology*
  • Diagnosis, Differential
  • Fractures, Stress / complications*
  • Fractures, Stress / diagnostic imaging
  • Fractures, Stress / etiology
  • Heart Rate
  • Humans
  • Hypertension
  • Male
  • Quadriplegia / complications*
  • Quadriplegia / etiology
  • Reflex, Abnormal*
  • Sacrum / injuries*
  • Spinal Cord Injuries / complications
  • Tomography, X-Ray Computed