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3.4.8 - Non-traumatic Spinal Cord Injury

from Section 3.4 - Neurological Impairment and Injury

Published online by Cambridge University Press:  27 July 2023

By
Manpreet Bahra  and
Sachin Mehta
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Non-traumatic spinal cord injury (NTSCI) describes a heterogeneous group of diseases which cause myelopathy by mechanisms other than trauma.

  2. 2. The International Spinal Cord Society (ISCoS) have developed a useful classification system for the diverse range of aetiologies causing NTSCI.

  3. 3. Presentation of NTSCI may be highly variable, and prompt identification of cord syndromes is therefore important to prevent diagnostic delay.

  4. 4. Management should focus on timely resuscitation and supportive treatment, whilst seeking specialist assessment.

  5. 5. Prognosis depends on the neurological level and completeness of injury – those with higher or complete injuries suffer worse outcomes.

Keywords

non-traumaticspinal cord injury
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 201 - 204
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Bonner, S, Smith, C. Initial management of acute spinal cord injury. Contin Educ Anaesth Crit Care Pain 2013;13:224–31.CrossRefGoogle Scholar
New, PW, Marshall, R. International spinal cord injury data sets for non-traumatic spinal cord injury. Spinal Cord 2014;52:123–32.CrossRefGoogle ScholarPubMed
New, PW, Reeves, RK, Smith, E, et al. International retrospective comparison of inpatient rehabilitation for patients with spinal cord dysfunction: epidemiology and clinical outcomes. Arch Phys Med Rehabil 2015;96:1080–7.CrossRefGoogle ScholarPubMed
van den Berg, MEL, Castellote, JM, Mahillo-Fernandez, I, de Pedro-Cuesta, J. Incidence of spinal cord injury worldwide: a systematic review. Neuroepidemiology 2010;34:184–92.CrossRefGoogle ScholarPubMed

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