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Spinal shock

P P Atkinson1, J L Atkinson

  • 1Department of Neurology, Mayo Clinic Rochester, MN 55905 USA.

Mayo Clinic Proceedings
|April 1, 1996
PubMed
Summary
This summary is machine-generated.

Spinal shock is a temporary loss of spinal reflexes after spinal cord injury. Recovery is marked by the return of altered reflexes, forming the basis for rehabilitation.

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Area of Science:

  • Neuroscience
  • Physiology

Background:

  • Spinal shock is a transient state following spinal cord injury.
  • It is characterized by the depression of spinal reflex activity below the injury level.
  • Hypotension can occur due to loss of sympathetic tone.

Purpose of the Study:

  • To define spinal shock and its associated phenomena.
  • To describe the mechanisms and timeline of spinal shock.
  • To identify the indicators for the resolution of spinal shock.

Main Methods:

  • Review of physiological and anatomical phenomena related to spinal cord transection.
  • Analysis of clinical descriptions of spinal shock.
  • Identification of reflex arc changes during and after spinal shock.

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Main Results:

  • Spinal shock involves immediate or delayed depression of spinal reflexes.
  • The Schiff-Sherrington phenomenon can affect reflexes above the injury.
  • Return of reflexes signals the end of spinal shock, with altered pathways.

Conclusions:

  • Spinal shock is a critical phase in spinal cord injury recovery.
  • The altered reflexes that emerge post-spinal shock are crucial for rehabilitation.
  • Understanding spinal shock is essential for managing spinal cord injuries.