Spinal cord injury

Markus Weis trollsjo at gmail.com
Wed Jan 17 17:50:26 GMT 2007

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I am quite new to trauma and need some help to understand the
pathophysiology of a case.

The patient was brought in with an apparent spinal cord injury. Hypotensive
and with no motor or sensory function in the lower extremities. He received
fluids and a medium to low dose vasopressor. A CT showed a Th6 injury. No
other injuries were found. After 2-3 hours in the ICU he started to move his
toes (more on one side than the other). Thereafter he was brought to the OR.

Should a spinal or a neurogenic shock not last longer than a few hours? What
if not spinal or neurogenic shock would you call it? Is it a "common"
phenomenon?

Andreas S

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