Dr.

Nizar
 Spinal shock was first defined by Whytt in 1750
as a loss of sensation accompanied by motor
paralysis with initial loss but gradual recovery
of reflexes, following a spinal cord injury (SCI) --
most often a complete transection.
 Reflexes in the spinal cord caudal to the SCI are
depressed (hyporeflexia) or absent (areflexia).
 Note that the 'shock' in spinal shock does not refer
to circulatory collapse
Sumber Ditunno JF, Little JW, Tessler A, Burns AS. Spinal shock revisited: a
four-phase model. Spinal Cord. 2004 Jul;42(7):383-95.
Physiological loss of spinal cord function distal
to level of injury
• Flaccid paralysis
• Anesthesia
• Incontinence
• Loss of reflex activity
• Priapism
 In spinal cord injuries above T6, autonomic
dysreflexia may occur, from the loss of autonomic
innervation from the brain. Sacral
parasympathetics (S2-S4) are lost, as are many
sympathetic levels, depending on the level of the
SCI. Cervical lesions cause total loss of
sympathetic innervation and lead to vasovagal
hypotension and 
bradyarrythmias -- which resolve in 3-6 weeks.
Sumber Buku Oxford Handbook of Clinical Surgery 3rd Ed.
Sumber Buku Trauma Contemporary Principles and Therapy
Sumber Buku Trauma Contemporary Principles and Therapy
Sumber Buku Current Surgical Diagnosis & Treatment 12th Ed.