Phases of Reflex Recovery after Spinal Cord Injury
How do you know when spinal shock is over?
Some clinicians interpret spinal shock as ending with the appearance of the bulbocavernosus reflex. Others19,48) state that spinal shock ends with the recovery of deep tendon reflexes and may not reappear for several weeks in complete human spinal cord injury.
What happens during spinal shock?
In spinal shock, there is a transient increase in blood pressure due to the release of catecholamines. This is followed by a state of hypotension, flaccid paralysis, urinary retention, and fecal incontinence. The symptoms of spinal shock may last a few hours to several days/weeks.
Is spinal shock reversible?
Spinal shock occurs following an acute spinal cord injury and involves a reversible loss of all neurological function, including reflexes and rectal tone, below a particular level.
What is the difference between spinal shock and neurogenic shock?
Neurogenic shock describes the hemodynamic changes resulting from a sudden loss of autonomic tone due to spinal cord injury. It is commonly seen when the level of the injury is above T6. Spinal shock, on the other hand, refers to loss of all sensation below the level of injury and is not circulatory in nature.
Which medicine is best for spinal cord?
A spinal cord injury requires immediate treatment in order to address life-threatening complications and to decrease the risk of long-term problems. Corticosteroid drugs such as dexamethasone (Decadron) or methylprednisolone (Medrol) are used to reduce swelling. In some cases, surgery may be recommended.
How do you rule out spinal shock?
These tests may include:
- X-rays. Medical personnel typically order these tests on people who are suspected of having a spinal cord injury after trauma. …
- Computerized tomography (CT) scan. A CT scan may provide a better look at abnormalities seen on an X-ray. …
- Magnetic resonance imaging (MRI).
What kind of shock is spinal injury?
Neurogenic shock refers to the hemodynamic triad of hypotension, bradycardia, and peripheral vasodilation resulting from severe autonomic dysfunction and the interruption of sympathetic nervous system control in acute spinal cord injury. Hypothermia is also characteristic.
What is a spinal cord shock injury?
The term “spinal shock” applies to all phenomena surrounding physiologic or anatomic transection of the spinal cord that results in temporary loss or depression of all or most spinal reflex activity below the level of the injury.
What are the four stages of shock?
It covers the four stages of shock. They include the initial stage, the compensatory stage, the progressive stage, and the refractory stage.
Which of the following is the most common mechanism for spinal trauma?
The most common causes of spinal cord injuries in the United States are: Motor vehicle accidents. Auto and motorcycle accidents are the leading cause of spinal cord injuries, accounting for almost half of new spinal cord injuries each year. Falls.