ðə fˈɜːst ˈɛpɪsˌoʊd ʌv ɔːtənˈɑːmɪk dˌɪsɹɪflˈɛksiə mˈeɪ əkˈɜː wˈiːks tə jˈɪɹz ˈæftɚ spˈaɪnəl kˈoːɹd ˈɪndʒɚɹi tˈeɪks plˈeɪs, bˌʌt mˈoʊst pˈiːpəl æt ɹˈɪsk dɪvˈɛləp ðɛɹ fˈɜːst ˈɛpɪsˌoʊd wɪðˌɪn ðə fˈɜːst jˈɪɹ ˈæftɚɹ ˈɪndʒɚɹi.
The first episode of autonomic dysreflexia may occur weeks to years after spinal cord injury takes place, but most people at risk develop their first episode within the first year after injury.