Spinal shock: Difference between revisions

Revision as of 15:52, 3 October 2019

Do not confuse with Neurogenic Shock
Transient stunning of the cord with global loss of function (unlike neurogenic shock) with temporary loss of spinal cord function below complete or incomplete spinal cord injury
- Flaccid paralysis, anesthesia, absent bowel/bladder control and reflex activity, priapism
- Can make an incomplete lesion appear as complete
  - Cord lesions cannot be deemed complete until spinal shock has resolved
Bulbocavernosus reflex is among the first to return as spinal shock resolves
- Mediated by S2-S4
Usually lasts day to weeks
- Resolves when soft tissue swelling improves
Can think of it as a "concussion" of the spinal cord

Authors:

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 *Do not confuse with [[Neurogenic Shock]]
 *Transient stunning of the cord with global loss of function (unlike neurogenic shock) with temporary loss of spinal cord function below complete or incomplete spinal cord injury
-**Flaccid paralysis, anesthesia, absent bowel/bladder control and reflex activity, priapism
+**Flaccid [[weakness|paralysis]], [[numbness|anesthesia]], absent bowel/[[urinary incontinence|bladder control]] and reflex activity, [[priapism]]
 **Can make an incomplete lesion appear as complete
 ***Cord lesions cannot be deemed complete until spinal shock has resolved