title: Emergency Neurologic Life Support: Spinal Cord Compression.
abstract: There are many causes of acute myelopathy including multiple sclerosis, systemic disease (SD), and acute spinal cord compression (SCC). SCC should be among the first potential causes considered given the significant permanent loss of neurologic function commonly associated with SCC. This impairment can occur over a short period of time, and may be avoided through rapid and acute surgical intervention. Patients with SCC typically present with a combination of motor and sensory dysfunction that has a distribution referable to a spinal level. Bowel and bladder dysfunction and neck or back pain may also be part of the clinical presentation, but are not uniformly present. Because interventions are critically time-sensitive, the recognition and treatment of SCC was chosen as an ENLS protocol.
authors.affiliation: Department of Neurology, University of Miami, Miami, FL, USA. kophelan@med.miami.edu.
authors.forename: Kristine H
authors.initials: KH
authors.lastname: O'Phalen
authors.affiliation: Department of Emergency Medicine, University of Illinois at Chicago, Chicago, IL, USA.
authors.forename: E Bradshaw
authors.initials: EB
authors.lastname: Bunney
authors.affiliation: Division of Neurosurgery, Nicklaus Children's Hospital, Miami, FL, USA.
authors.forename: John W
authors.initials: JW
authors.lastname: Kuluz
mesh_terms: D004638:Emergency Treatment / Q000379:methods*; D006801:Humans; D008020:Life Support Care / Q000379:methods*; D009462:Neurology / Q000379:methods*; D013117:Spinal Cord Compression / Q000628:therapy*
keywords: Critical care; Emergency; Neurocritical care; Spinal cord compression; Spinal injury