Neurogenic shock is a type of distributive shock that describes the sudden loss of autonomic tone due to spinalcord injury often characterized by hypotension and relative bradycardia. Loss of sympathetic tone occurs with injuriesabove T6 and results in decreased systemic vascular resistance. Peripheral vasoconstrictors, chronotropes, and inotropesmay be needed in cases of neurogenic shock. Autonomic instability may develop and often persists several weeks after theinjury. Aggressive management is imperative in the initial phases of neurogenic shock to avoid further secondaryischemic injury to the cord.
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