Spinal Cord Injury Flashcards
______, ______, and ______ are causes of SCI.
Compression
Hemorrhage
Traumatic vasospasm
all of these may result in ischemia/infarction
SCI: Secondary injury, pathologic consequences
Induction of nitric oxide synthase
Release of excitotoxic amino acids
Cellular influx of calcium
Oxidative stress
Lipid peroxidation
SCI: Secondary injury may be exacerbated by hypotension due to_______or _________shock.
hemorrhage
neurogenic
Between 20-60% of SCI are associated with a concurrent ____.
TBI
Quadriplegia
C4, C6
Paraplegia
T6, L1
Spinal shock: clinical marker
bulbocavernosus reflux
Traumatic SCI is frequently associated with systemic ________ and reduced ___ ____ _____ _____.
hypotension
spinal cord perfusion pressure.
This may contribute to secondary ischemic neurologic injury and should be avoided.
SCPP =
MAP-CSFP
…………….. predicts neurologic recovery in acute spinal cord injury
Spinal cord perfusion pressure
_________ complicates the picture with injuries above ___ due to compromise of the sympathetic……..
Bradycardia
T6
cardiac accelerator fibers