رجل عمره ٢٨ سنة بعد سقوط من ارتفاع قبل ٤ ساعات، عنده إصابة حبل شوكي حديثة عند T2. لا توجد منعكسات ولا حركة ولا إحساس تحت الإصابة، والضغط ٨٢/٤٨، والنبض ٥٠، والجلد دافئ وجاف. لا يوجد نزيف ظاهر. ماذا يُسمى هذا؟

A 28-year-old fell from a height 4 hours ago and has an acute T2 spinal cord injury. There are no reflexes, movement or sensation below the injury; BP 82/48, HR 50, skin warm and dry, with no visible bleeding. What is this called?

1. Guillain-Barré syndrome
2. Hypovolaemic shock from bleeding
3. Autonomic dysreflexia
4. Spinal shock with neurogenic shock

Answer: D) Spinal shock with neurogenic shock. Spinal shock is temporary loss of reflexes below the injury; neurogenic shock is loss of sympathetic tone with hypotension, bradycardia and warm skin, treated with fluids, vasopressors and sometimes atropine.