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Neurogenic Shock

Loss of sympathetic tone due to spinal cord injury produces hypotension and bradycardia.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Acil Servis department. Book Appointment →

What is Neurogenic Shock?

Neurogenic shock is a distributive form of shock that develops as a result of disrupted sympathetic nerve transmission, particularly in spinal cord injuries at thoracic 6 level and above.

Unlike distributive shock, the skin can appear warm and pink; bradycardia rather than tachycardia is observed.

Early diagnosis and appropriate fluid/vasopressor therapy are important to prevent secondary damage from spinal cord injury.

Symptoms

Coexistence of hypotension and bradycardia
Warm, pink and dry skin (distal vasodilation)
Loss of motor and sensory function
Urinary retention, priapism
Loss of reflexes below the spinal level
Consciousness usually preserved

Risk Factors

High-energy trauma (traffic, falls from height)
Cervical and upper thoracic spine injury
Spinal surgery complications
High spinal anesthesia
Spinal tumors
Multiple trauma patients

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Call 112 immediately for inability to move and low blood pressure after trauma
  • When spinal injury is suspected, the patient should not be moved before calling an ambulance
  • Loss of sensation after a fall requires emergency department visit
  • Neck pain combined with fainting is very serious

Treatment Methods

01
Spinal immobilization and ABC stabilization
02
Cautious fluid resuscitation (avoiding overload)
03
Vasopressors (norepinephrine, dopamine)
04
Atropine for bradycardia
05
Spinal imaging and neurosurgery consultation
06
Multidisciplinary management in intensive care

Which Department to Visit?

You can visit our Acil Servis department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Acil Servis Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.