User:Mr. Ibrahem/Spinal shock
Mr. Ibrahem/Spinal shock | |
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Cervical spine MRI showing a C4 fracture and dislocation resulting in spinal cord compression | |
Symptoms | Temporary loss or decrease of reflexes[1] |
Complications | Neurogenic shock[2] |
Duration | 4 to 12 weeks[3] |
Causes | Spinal cord injury[1] |
Risk factors | Substance misuse[4] |
Treatment | Supportive care[4] |
Spinal shock is the temporary loss or decrease of reflexes below the level of a spinal cord injury (SCI).[1] There is also generally no motor or sensory function below the injury.[2] Onset is usually sudden.[1] Low blood pressure may or may not be present.[1] It can be complicated by neurogenic shock, which is low blood pressure due to loss of sympathetic tone as a result of a spinal cord injury.[2]
It most commonly occurs from injury, such as a motor vehicle collision, fall, sports accident, or self-harm.[1][4] Other causes may include low blood pressure or as a complication of angiography.[4] The underlying mechanism involve near or complete disruption through a level of the spinal cord.[1] Spinal shock is deemed to have resolved as reflexes return, despite the reflexes never returning to normal.[1] It generally lasts 4 to 12 weeks, after which spasticity occurs.[3]
There is no specific treatment once the injury has occurred.[4] Efforts generally include preventing low blood pressure and low oxygen levels.[4] Long term care is generally required.[4] Males are affected four times more often than females.[4] The condition may have been described as early as 1750 by Whytt, though the term itself was first used in 1841 by Hall.[1]
References[edit]
- ^ a b c d e f g h i Atkinson, Patty Pate; Atkinson, John L.D. (April 1996). "Spinal Shock". Mayo Clinic Proceedings v. 71(4): 384-389. doi:10.4065/71.4.384. PMID 8637263. Archived from the original on 12 August 2020. Retrieved 3 August 2020.
- ^ a b c Dave, S; Cho, JJ (January 2020). "Neurogenic Shock". PMID 29083597.
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(help) - ^ a b Ko, Hyun-Yoon (2019). Management and Rehabilitation of Spinal Cord Injuries. Springer. p. 124. ISBN 978-981-10-7033-4. Archived from the original on 2021-07-11. Retrieved 2021-01-06.
- ^ a b c d e f g h Ziu, E; Mesfin, FB (January 2020). "Spinal Shock". PMID 28846241.
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