Which of following feature is compatible with spinal shock ?

Which of following feature is compatible with spinal shock ?

a. Babinski response
b. Exaggerated knee jerk
c. Hypotension
d. Reflex  Bladder
e. Recovery within a period of one week



Answer


c. Hypotension

Discussion
Following spinal cord injury , there is transient loss of all or most spinal reflex activity below the level of injury this is known as spinal shock . Possible mechanism for this is sudden loss of bombardment of spinal neurons by excitatory impulse from descending pathway .The duration of spinal shock in human last for minimum of 2 weeks 

Features of spinal shock
At end of spinal shock , spinal reflex reappear and become hyperractive due to development of denervation hypersensitivity to the mediators released by the remaining spinal excitatory endings and formation of additional excitatory endings from existing neurons .

Below the level of lesion following upper motor neuron sign seen 


At the level of lesion  lower motor sign seen 

In complete cord transection descending autonomic fibers are destroyed . Therefore voluntary control on bladder and bowel lost and it result reflex bladder (spastic bladder ) or flacid bladder


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