ˈoʊldɚ pˈeɪʃənts wɪð vˈɛɹi ɪŋkəmplˈiːt spˈaɪnəl kˈoːɹd ˈɪndʒɚɹiz ænd sɪstˈɑːlɪk hˌaɪpɚtˈɛnʃən wɪðˌaʊt sˈɪmptəmz mˈeɪ biː ɛkspˈiəɹɪənsɪŋ ᵻsˈɛnʃəl hˌaɪpɚtˈɛnʃən, nˌɑːt ɔːtənˈɑːmɪk dˌɪsɹɪflˈɛksiə.
Older patients with very incomplete spinal cord injuries and systolic hypertension without symptoms may be experiencing essential hypertension, not autonomic dysreflexia.