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Emergency Neurologic Life Support: Spinal Cord Compression

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Abstract

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

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Authors and Affiliations

  1. Department of Neurology, University of Miami, Miami, FL, USA

    Kristine H. O’Phalen

  2. Department of Emergency Medicine, University of Illinois at Chicago, Chicago, IL, USA

    E. Bradshaw Bunney

  3. Division of Neurosurgery, Nicklaus Children’s Hospital, Miami, FL, USA

    John W. Kuluz

Authors
  1. Kristine H. O’Phalen
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  2. E. Bradshaw Bunney
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  3. John W. Kuluz
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Correspondence to Kristine H. O’Phalen.

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O’Phalen, K.H., Bunney, E.B. & Kuluz, J.W. Emergency Neurologic Life Support: Spinal Cord Compression. Neurocrit Care 23 (Suppl 2), 129–135 (2015). https://doi.org/10.1007/s12028-015-0166-1

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  • DOI: https://doi.org/10.1007/s12028-015-0166-1

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