Overview. Also known as spinal shock syndrome, spinal shock is the loss of muscle tone and spinal reflexes below the level of a severe spinal cord lesion. This “shock” does not imply a state of circulatory collapse but of suppressed spinal reflexes below the level of cord injury.
What is spinal shock and why does it occur?
Spinal shock is a result of severe spinal cord injury. It usually requires high-impact, direct trauma that leads to spinal cord injury and spinal shock. The initial encounter with a patient that has spinal shock is usually under a trauma scenario.
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 does spinal shock mean?
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.
How long can a spinal shock last?
Spinal shock usually lasts for days or weeks after spinal cord injury and the average duration is 4 to 12 weeks.
What are the stages of spinal shock?
We present here a new paradigm for spinal shock consisting of four phases: (1) areflexia/hyporeflexia, (2) initial reflex return, (3) early hyper-reflexia, and (4) late hyper-reflexia. It is increasingly apparent that spinal shock reflects underlying neuroplasticity after SCI.
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.
Does CBD oil help spinal cord injury?
After a spinal cord injury in the acute phase, researchers have discovered that cannabis can stimulate a neuroprotective response, helping activate two important sectors CB1 and CB2, which helps promote spontaneous recovery. These findings were discovered in a 2012 study in Spain.
Is there any hope for spinal cord injury?
And while there is currently no cure for spinal cord injury, patients typically engage in exercise therapy to improve motor function. Some previous research have shown that implanting a stimulator to deliver electric current to a damaged spinal cord could help paralyzed patients regain mobility.
How do you test for 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 are the causes of spinal shock?
Common causes of spinal cord injuries
- 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. …
- Acts of violence. …
- Sports and recreation injuries. …
- Alcohol. …
What is not in spinal shock?
Reflexes in the spinal cord below the level of injury are depressed (hyporeflexia) or absent (areflexia), while those above the level of the injury remain unaffected. The ‘shock’ in spinal shock does not refer to circulatory collapse, and should not be confused with neurogenic shock, which is life-threatening.