Spinal Cord Shock - An Altered Physiologic State After A Spinal Cord Injury
The physical, social, and occupational well-being of patients is severely impacted by traumatic spinal cord shock or injury (SCI). As the demography of SCIs changes, a greater percentage of elderly people are becoming afflicted. According to pathophysiology, the first mechanical trauma (the main injury) permeabilizes neurons and glia and starts a secondary injury cascade, which over the following weeks causes progressive cell death and spinal cord degeneration.
Dr. Bill ButcherOct 18, 2022205 Shares2738 Views
The physical, social, and occupational well-being of patients is severely impacted by traumatic spinal cord shockor injury(SCI). As the demography of SCIs changes, a greater percentage of elderly people are becoming afflicted.
According to pathophysiology, the first mechanical trauma(the main injury) permeabilizes neurons and glia and starts a secondary injury cascade, which over the following weeks causes progressive cell death and spinal cord degeneration.
Over time, the lesion changes into cystic cavitations and a glial scar, both of which are very effective at stopping regeneration. The loss of muscle tone and spinal reflexes below the level of a severe spinal cord shock is referred to as spinal shock, also known as spinal shock syndrome.
This shock instead implies repressed spinal reflexes below the level of cord damage, not a condition of circulatory collapse. When the spinal shock is entirely gone, which might take days or months, the flaccidity that was formerly there eventually turns into spasticity.
It often follows a severe spinal cord shock or injury (SCI) that is either traumatic or ischemic, with traumatic spinal shock happening more frequently in young people and disproportionately more frequently in men than in women.
A traumatic spinal cord shock and injury (TSCI) is a serious injury that damages the spinal cord and can cause temporary or permanent changes in how the nerves work, such as paralysis.
Males are more likely to develop traumatic spinal cord shock injuries TSCIs than females, and the majority of cases are caused by avoidable events like falls (40%), car accidents (35%), or sports injuries (12%).
There are two types of TSCI: full and incomplete. A complete injury affects the whole length of the spinal cord, leaving the area below the site of the lesion unable to feel or move. An incomplete injury affects movement or sensation only partially because it affects a portion of the spinal cord.
The degree and extent of the damage determine any sequela. If the damage is at or above the C5 section, breathing may be hampered. Reduced movement raises the risk of pressure ulcers, atelectasis, contractures, pneumonia, and urinary tract infections.
Spasticity that is crippling might occur. Cardiovascular instability, which is frequent right after a cervical cord injury and is linked to neurogenic shock and autonomic dyslexia that happen in reaction to triggering events like pain or pressure on the body, is a typical complication. Burning or stinging are two possible symptoms of chronic neurogenic pain.
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The altered physiological condition known as spinal shock occurs right away after a spinal cord shock or injury (SCI). It manifests as flaccid paralysis, anesthesia, the absence of bowel and bladder control, and a lack of reflex activity.
Spinal shock is marked by a short rise in blood pressure, followed by low blood pressure, flaccid paralysis, urine retention, and fecal urinary incontinence.
If the symptoms do not go away within 24 hours, a prolonged recovery period and extended stay in rehabilitation may be required.