Ditunno J F, Little J W, Tessler A, Burns A S
Department of Rehabilitation Medicine, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Spinal Cord. 2004 Jul;42(7):383-95. doi: 10.1038/sj.sc.3101603.
Spinal shock has been of interest to clinicians for over two centuries. Advances in our understanding of both the neurophysiology of the spinal cord and neuroplasticity following spinal cord injury have provided us with additional insight into the phenomena of spinal shock. In this review, we provide a historical background followed by a description of a novel four-phase model for understanding and describing spinal shock. Clinical implications of the model are discussed as well.
两个多世纪以来,脊髓休克一直是临床医生关注的焦点。我们对脊髓神经生理学以及脊髓损伤后神经可塑性的理解取得了进展,这为我们深入了解脊髓休克现象提供了更多的见解。在这篇综述中,我们先提供一个历史背景,然后描述一个用于理解和描述脊髓休克的新的四阶段模型。还将讨论该模型的临床意义。