Lower urinary tract autonomic dysfunction evaluation in spinal cord injury patients: an applied example

Introduction The International Standards for the Neurological Classification of Spinal Cord Injury (ISNCSCI) is a measure for motor-sensory dysfunction following spinal cord injury (SCI) but does not assess the autonomic nervous system dysfunction. The International Standards to document remaining Autonomic Dysfunction after Spinal Cord Injury (ISAFSCI) has been recommended to study autonomic dysfunction in such patients. We present a case presentation to demonstrate how to use the ISAFSCI and ISCoS urodynamics data set in persons with SCIs. Case presentation A 24-year-old caucasian male presents with T4 ASIA SCI. We followed the patient over the course of 18 months. We present his clinical picture at different stages and how to apply ISAFSCI and ISCoS urodynamic data set to this patient Discussion The ISAFSCI and ISCoS urodynamics data sets are important tools in the repertoire of the clinician assessing autonomic dysfunction in persons with SCIs. They allow efficient clinical assessment of patients and standard communication between clinical care providers.