I am a consultant working in Neurorehab and I find your presentation of this fairly complicated autonomic failure very clear and to the point, with simple and clever illustrations. Very well done!
I had Scheuermann's disease as a teen and when it developed, I began having a fast heart rate, sweating, anxiety, Raynaud's/acrocyanosis,flushing/blushing, and orthostatic weirdness and erratic energy levels. The docs thought I had a pheochromocytoma, but that was negative. Adderall actually helps. I had my spine corrected in 2011 and look and feel awesome.. I workout a lot and built a lot of muscle... But my sympathetic nervous system is still super super super sensitive. Metanephrines and other adrenals are all normal. I am completely convinced there is something related between my thoracic spine (my curve apex was T8) and my sympathetic nervous system overaction. 20 years since diagnosis, I finally found a health care team who says I am not crazy. It's likely not going to kill me... But I'll tell you, it can be very frustrating. There is basically no known medical studies involving what I'm conviced of (idiopathic scoliosis/kyphosis related to hypersensitive SNS), I'm basically on my own LOL. Great video.
It can suck but like everything else we learn to live with it mate wish u peace blessings seize your health mate you don't need a doctor you study you. 1 love
I really appreciate how you explained the reasoning behind these clinical manifestations. Your video helped me so much and played a big role in my doing well on my second pathophysiology exam! Sending love from a grateful (but still struggling) nursing student.
I was shot 4 months ago by a stray bullet and iam only 38 and suffered t 10 damage and complete spinal cord injury, I never been so afraid in my life about all the post complications of spinal injury iam weeping in fear for I do not kno how I will go forward with all these potential sicknesses God help me and save me ,thank you for your information dr
I just experienced it today and I thought I was going to have a stroke. I’m a paraplegic with high level of injury, T2-T3. I haven’t experienced something this intense for several years. Really scary.
It can cause a stroke I've had it for a few years I dislocated my skull and shattered my c1 thru c4 and all my t spine pay attention to the signs brother it could save your life
Thank you! I am a nursing student and while they teach us how to recognize symptoms and how to correct this condition, the explanation behind it was unsatisfying. Now I get it :)
? Mine is from My Dislocated Atlas. Ignore Upper Cervical Dislocations have Consequences with the Head and Brain Suffocating. That affects Everything across the Board. Bowel and Bladder Problems. Absolutely. Many Consequences. If You fix it at T-4 and leave the Atlas Out. You still have Problems. I've Relocated My Atlas which is not an Easy Feat. It was out on both sides. Came with Noses Bleeds and Seizures. God Bless, C. has Relocated some old dogs and watched them Seize Out, too. I was actually looking for stuff on Leason Lines and Pilo Erection in the Neck and Chest Area. Might be Labeled under Lupus, too.
Thank you for your video's I just started watching your video's as I'm living with spinal injuries that were over looked because a hospital choose to not scan me after I was hit by a car crossing a road and vaulted into mid air into a back flip 8 to 9 feet backwards before smashing to the road, it's three years now and my injuries are getting worse ....i just wish there was a doctor that would have been somewhat like yourself treating and looking after me at that time
U said above the lesion is parasympathetic nervous system is activated and para sympathetic nervous system causes pupil constriction. Then why in AD pupil dilates. What is exact cause for pupil dilatation.
If SNS is active below the injury and sweating is known to occur when SNS is activated, why do they sweat above the injury or where PNS is activated? I just don't understand it.
Because sweating is cholinergic, both sympathetic and parasympathetic control it. Normally, SNS controls it. If the postganglionic SNS fibres are damaged (I.e. SCI) then the PNS can take over 😊
I have dysautonomia and CIDP along with CRPS. So I've got issues with my autonomic system, peripheral system and sympathetic system. However, I also frequently can get some symptoms of autonomic dysreflexia. I'm on a crazy wide array of meds. And apparently I have a crap show of my nervous system. Can anything be done? Because I haven't seen any doctors yet who haven't been as perplexed as I am when it is clear my body is trying to unalive itself and they don't have a clue other than throw more meds at me to see what sticks (not much is sticking either).
I am a consultant working in Neurorehab and I find your presentation of this fairly complicated autonomic failure very clear and to the point, with simple and clever illustrations. Very well done!
The most straightforward explanation, thank you!
Explain the mechanism for ur arm training
Bruhh😂
😂😂😂😂😂
😂😂😂😂
😂 actually me too watching and had complete concentration only on his arms
Hahaha he doesn’t like or hits likes back to any comment about his image, it has to be about science
Again, BEAUTIFULLY (and simply) explained. Well done Mike - perfect for my nursing studies.
Thank you so much Sir🙏🏾worked in the emergency department for the last 2 months and saw spinal injury patients every week. This is really helpful!
I was rejected by Griffith Uni a few years back and now I am happily working in the States as an ICU nurse :))
Thanks very much for this, I'm a registered paramedic and struggled to simply explain AD to my student. This video has really helped us both 👍.
I had Scheuermann's disease as a teen and when it developed, I began having a fast heart rate, sweating, anxiety, Raynaud's/acrocyanosis,flushing/blushing, and orthostatic weirdness and erratic energy levels. The docs thought I had a pheochromocytoma, but that was negative. Adderall actually helps. I had my spine corrected in 2011 and look and feel awesome.. I workout a lot and built a lot of muscle... But my sympathetic nervous system is still super super super sensitive. Metanephrines and other adrenals are all normal. I am completely convinced there is something related between my thoracic spine (my curve apex was T8) and my sympathetic nervous system overaction. 20 years since diagnosis, I finally found a health care team who says I am not crazy. It's likely not going to kill me... But I'll tell you, it can be very frustrating. There is basically no known medical studies involving what I'm conviced of (idiopathic scoliosis/kyphosis related to hypersensitive SNS), I'm basically on my own LOL.
Great video.
It can suck but like everything else we learn to live with it mate wish u peace blessings seize your health mate you don't need a doctor you study you. 1 love
Thanks for the excellent explanation.
You never disappoint me Dr. Mike, very well explained.
OH MY GOD, this was amazingly put. It has been two weeks, multiple videos and reading and still could not fully understand it. THANK YOU.
I'm a quadriplegic, check my channel out as I'm going autonomic dysreflexic. Stuart Vinter
Thank you for amazing explanation for my nursing class
I really appreciate how you explained the reasoning behind these clinical manifestations. Your video helped me so much and played a big role in my doing well on my second pathophysiology exam! Sending love from a grateful (but still struggling) nursing student.
I'm so glad it helped!! 🙌 😎
thank you so much! i remember i used your videos to get into nursing school and now im one semester away from graduating
Studying for BPT. Crystal clear description, thank you.
Sharing this excellent description of AD with an LPN student I am tutoring. Thank you so much!
I was shot 4 months ago by a stray bullet and iam only 38 and suffered t 10 damage and complete spinal cord injury, I never been so afraid in my life about all the post complications of spinal injury iam weeping in fear for I do not kno how I will go forward with all these potential sicknesses God help me and save me ,thank you for your information dr
This is your life. All you can do is hope for a miracle and try your best. I'm T7 since 09'.
I just experienced it today and I thought I was going to have a stroke. I’m a paraplegic with high level of injury, T2-T3. I haven’t experienced something this intense for several years. Really scary.
It can cause a stroke I've had it for a few years I dislocated my skull and shattered my c1 thru c4 and all my t spine pay attention to the signs brother it could save your life
Wow! This is the best I've heard it explained. Thank you.
Thank you! I am a nursing student and while they teach us how to recognize symptoms and how to correct this condition, the explanation behind it was unsatisfying. Now I get it :)
I am a quadriplegic, my channel shows me going autonomic dysreflexic. Stuart vinter
I love the explanation and connection with the signs and symptoms! Thank you!
Great for nursing students 🙌
You are a born and talented Instructor. Respect!!!!
Thank you for explaining it so well, my brain was able to wrap itself around AD.
? Mine is from My Dislocated Atlas. Ignore Upper Cervical Dislocations have Consequences with the Head and Brain Suffocating. That affects Everything across the Board. Bowel and Bladder Problems. Absolutely. Many Consequences. If You fix it at T-4 and leave the Atlas Out. You still have Problems. I've Relocated My Atlas which is not an Easy Feat. It was out on both sides. Came with Noses Bleeds and Seizures. God Bless, C. has Relocated some old dogs and watched them Seize Out, too. I was actually looking for stuff on Leason Lines and Pilo Erection in the Neck and Chest Area. Might be Labeled under Lupus, too.
The PERFECT explanation. Thank you so much.
Dr. Mike is an amazing professor.
I'm going to share this with my PTA students. One of the most strightforward and easy to understand expalnations of auotnomic dysreflexia I have seen.
I am a quadriplegic, my channel shows me going autonomic dysreflexic stuart vinter
Way to make this absolutely clear, thanks my dude
Glad it helped!
Best explanation to a lay man’s level
Thank you!! This makes so much sense. Your diagrams are always very helpful!
AMAZING!!!... Please tell some good books to refer to for Ist year in medical school for physiology
Beautifully presented! Thank you 🙏
Thank you for making AD simple to understand.
Wow! You made me understand the autonomic dysreflexia well. Thank you!
Amazing , one of the best videos i hv saw till now thnkx fr clearing the concept
Wonderfully explained. You guys are awesome
Your explanation is so clear and memorizable
Your teaching makes me so happy because it gives me a clear understanding. Thank you so much.
Very simple and straightforward. Thanks Doc.
Thanks Mike. Well done. Best time of my life at Griffith as well. Cheers.
Great explanation. One question I've had is why does it only occur if the injury is T6 and above and not lower?
Very informative!, think I'll hit the gym..
Awesome explaination, as always! Thank you Dr.!
Amazing explanation ...keep it up sir
Clear cut precise lecture👌
I Got it in one go🤟
Thankyou 🌻
this video got me thinking : why is my professor is a professor?
thanks doc! also can you make a video regarding the difference of spinal shock, neurogenic shock and this autonomic dysreflexia.
Unbelievable explanation!
Outstanding. Clear and succinct.
Thank you for your video's
I just started watching your video's as I'm living with spinal injuries that were over looked because a hospital choose to not scan me after I was hit by a car crossing a road and vaulted into mid air into a back flip 8 to 9 feet backwards before smashing to the road, it's three years now and my injuries are getting worse ....i just wish there was a doctor that would have been somewhat like yourself treating and looking after me at that time
Seriously so helpful and straight to point! Thank you!
Great video with great explanations
Lovely smile at the end. Thank you
U said above the lesion is parasympathetic nervous system is activated and para sympathetic nervous system causes pupil constriction. Then why in AD pupil dilates. What is exact cause for pupil dilatation.
Excellent as always. Thank you
I bet this is exactly what dying feels like. Such a horrendous feeling
REally great explanatiion. It can be as low as t10 as well unusually.
Awesome explanation. Simple and straight the point
Thank you! Great explanation in little time. Love it!
If SNS is active below the injury and sweating is known to occur when SNS is activated, why do they sweat above the injury or where PNS is activated? I just don't understand it.
Because sweating is cholinergic, both sympathetic and parasympathetic control it. Normally, SNS controls it. If the postganglionic SNS fibres are damaged (I.e. SCI) then the PNS can take over 😊
so well said! makes studying so much easier with the visual and quick summary :)
Very good explanation
Very very clear explanation....thank you so much from the bottom of my heart ❤️
I love Dr. Mike's dgaf about his hair
Beautifully explained! Thank you!
Wish you were my doctor. Instead of an injury, can it be degenerative in that area and can that cause same problems.
Beautifully explained
Excellent Explanation. Thank you!!
You are an amazing teacher!
I have dysautonomia and CIDP along with CRPS. So I've got issues with my autonomic system, peripheral system and sympathetic system.
However, I also frequently can get some symptoms of autonomic dysreflexia.
I'm on a crazy wide array of meds. And apparently I have a crap show of my nervous system.
Can anything be done? Because I haven't seen any doctors yet who haven't been as perplexed as I am when it is clear my body is trying to unalive itself and they don't have a clue other than throw more meds at me to see what sticks (not much is sticking either).
Does it have to occur from a traumatic injury or can it occur from a herniated disc, Tarlov cyst, syringomyelia, ms lesions, tethered cord, etc?
Beautifully explained!
Best explanation thank you it helped me a lot!
Masterful explanation
What level of injury are we talking? Like car crash victim, or could things like spinal stenosis cause this to happen?
Awesome lecture !
Amazing explanation, thank you so much!
😔 I can't stand up anymore
I have AD ...multiple levels of cervical injury and lumbar
Thank you
This was SO helpful! THANK YOU!
Very clear explanation! Thank you!
Excellent explanation, thank you 💕💕
You're the best doctor 💜
Great explanation
Thanks you so much. but can anyone please explain in details how sweating occurs above the injury (in PSN area)?
Perfect flawless explanation 👌👌👌💜💜💜
Appropriate explaination sir❤
I've read it autonomic dysreflexia is actually around the t5 level
such a perfect explanation,thanks
thank you , that is a very neat explanation
I was definitely paying attention to the quick lecture and not the 2 guns flying around in front of the whiteboard
Superb explanation 👍
Thank you 😍 waiting enthusiastically for more neurology videos🙏.
That smile at the end is badass.
finally some good explanation
Very well 👏 explained
That was really good sir
Gotta say, great video this was really clear
very clear explanation!! thank you!!
Thank you. It simple and understanding .