Spinal Shock

■ Spinal shock occurs mostly after significant cervical cord injury; characterised by a state of flaccid paralysis, hypotonia and areflexia (e.g. absent bulbocavernosus reflex)

■ The sensory and motor symptoms usually resolve by 4-6 h, but autonomic symptoms can persist for days or weeks

■ Most typical signs include bradycardia despite hypotension, flaccid paralysis and lack of painful sensation to the limbs affected; other signs that can be present depend of the level of injury

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