Neurogenic shock

Neurogenic shock is a devastating consequence of spinal cord injury (SCI), also known as vascular shock

Early identification and active management are essential

etiology

Neurogenic shock is defined as spinal cord injury with autonomic dysfunction

epidemiology

In the United States, an estimated 8,000 to 10,000 people suffer spinal cord injuries

Pathophysiology

Neurogenic shock is a clinical condition

History and signs

Neurogenic shock can be difficult to diagnose and requires careful study

appraise

Prior to advanced imaging, neurogenic shock was associated with spinal cord injury without radiological abnormalities (SCIWORA).

Treatment/management

Initial management of neurogenic shock focuses on hemodynamic stabilization

Treatment for bradycardia is atropine and glycopyrronium bromide to combat vagus tone, especially before

Initial spinal fixation is important

differential diagnosis

Hypovolemic shock

Obstructive shock

Cardiogenic shock

Sepsis shock

All of these types of shock are associated with tachycardia, while neurogenic shock is associated

The term "spinal shock" denotes an acute loss of movement, sensory, and reflex function below the level of injury and may be associated

prognosis

The overall prognosis depends on the extent of the spinal cord injury and response to treatment

Enhance healthcare team collaboration

The diagnosis and management of neurogenic shock is not easy, therefore, it is best to manage the condition by a team of professionals, including emergency department physicians, neurologists, neurosurgeons, plastic surgeons, traumatologists and specialists

The outlook for these patients depends on the severity of the injury, the presence of neurological deficits at presentation, age, concomitant other organ damage, and a low