Penetrating Ballistic Spinal Injury

Harrisson, Stuart

doi:10.1007/978-3-319-61364-2_15

Cited by 1 publication

(1 citation statement)

References 34 publications

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“…Other aspects of neurogenic shock include temperature dysregulation, autonomic dysreflexia, and orthostatic hypotension [5]. Aside from bradycardia and hypotension, many patients develop autonomic dysreflexia defined as a profound autonomic response to what would typically be a mild stimulus such as bladder or bowel distension [6]. The presence of a focal neurological deficit is not required for diagnosis, and although this is most often encountered in the setting of an acute SCI, theoretically any damage resulting in the loss of cerebral control of the autonomic nervous system may place a patient at risk for neurogenic shock.…”

Section: Neurogenic Shock Vs Spinal Shockmentioning

confidence: 99%

Neurogenic Shock

Volski¹,

Ackerman²

2020

Clinical Management of Shock - The Science and Art of Physiological Restoration

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Neurogenic shock is a state characterized by hypotension, bradycardia, and other evidence of autonomic dysfunction. The most common cause is acute spinal cord injury (SCI), which will be the subject of our focus. Because the typical autonomic reflexes may be either abolished or dysregulated, appropriate treatment requires an understanding of the neuroanatomic substrate for the change. In this chapter, we will explore the root cause for neurogenic shock, differentiating it from spinal shock, and discuss those patients at risk and generally accepted treatment paradigms. The timeframe for manifestation of neurogenic shock is variable and it can quickly progress to cause secondary injury or death, so appropriate monitoring requires a high level of suspicion and diligence.

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Section: Neurogenic Shock Vs Spinal Shockmentioning

confidence: 99%