Emergency Neurologic Life Support: Spinal Cord Compression

Research output: Contribution to journalArticle

Abstract

There are many causes of acute myelopathy including multiple sclerosis, systemic disease, 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.

Original languageEnglish (US)
Pages (from-to)144-151
Number of pages8
JournalNeurocritical Care
Volume27
DOIs
StatePublished - Sep 1 2017

Keywords

  • Compression
  • Emergency neurologic life support
  • Neurocritical care
  • Spinal cord
  • Spinal cord injury

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Clinical Neurology

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