title: [Neurogenic shock].
abstract: The neurogenic shock is a common complication of spinal cord injury, especially when localized at the cervical level. Characterized by a vasoplegia (hypotension) and bradycardia, the neurogenic shock is secondary to the damage of the sympathetic nervous system. The clinical presentation often includes tetraplegia, with or without respiratory failure. Early treatment aims to minimize the occurrence of secondary spinal cord lesions resulting from systemic ischemic injuries. Medical management consists in a standardized ABCDE approach, in order to stabilize vital functions and immobilize the spine. The hospital care includes performing imaging, further measures of neuro-resuscitation, and coordinated surgical assessment and treatment of any other injury.
authors.forename: Rafael
authors.initials: R
authors.lastname: Meister
authors.forename: Mathieu
authors.initials: M
authors.lastname: Pasquier
authors.forename: David
authors.initials: D
authors.lastname: Clerc
authors.forename: Pierre-Nicolas
authors.initials: PN
authors.lastname: Carron
mesh_terms: D058109:Airway Management; D006487:Hemostasis; D006801:Humans; D007035:Hypothermia / Q000517:prevention & control; D007103:Immobilization; D010102:Oxygen Inhalation Therapy; D012769:Shock / Q000209:etiology* / Q000628:therapy*; D013119:Spinal Cord Injuries / Q000150:complications*