Spinal shock and neurogenic shock can occur from a spinal injury.
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This will result in a condition called as neurogenic shock.
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Neurogenic shock results from damage to the spinal cord above the level of the 6th thoracic vertebra.
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Neurogenic shock lasts for weeks and can lead to a loss of muscle tone due to disuse of the muscles below the injured site.
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Rupture of a hollow organ, with subsequent evacuation of contents in the peritoneal cavity could also determine neurogenic shock, a subtype of distributive shock.
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In spinal cord injuries above T6, neurogenic shock may occur, from the loss of bladder or bowel control, sweating, headaches, and other sympathetic effects.
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Without appropriate treatment, symptoms typically progress to more severe reactions such as tachydysrhythmias and neurogenic shock, leading to death by asphyxiation, cardiovascular collapse, or respiratory failure.
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"' Neurogenic shock "'is caused by the loss of vascular tone normally supported by the sympathetic nervous system due to injury to the central nervous system especially spinal cord injury.
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The differential diagnosis for sepsis is broad and has to examine ( to exclude ) the noninfectious conditions that may cause the systemic signs of SIRS : alcohol withdrawal, acute pancreatitis, burns, pulmonary embolism, thyrotoxicosis, anaphylaxis, adrenal insufficiency, and neurogenic shock.
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