Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute cervical spinal cord injury following [mechanism of injury]. Reports [complete/incomplete] loss of motor and sensory function below the level of [C-level]. Associated symptoms include [respiratory distress/neurogenic shock/priapism/radicular pain]. Onset of symptoms is immediate post-trauma.
Clinical Examination Findings
Cervical spine immobilized in rigid collar. Neurological exam reveals [ASIA scale grade A-E]. Motor strength: [0-5/5] in upper/lower extremities. Sensory exam: [absent/impaired/intact] to light touch and pinprick. Reflexes: [areflexic/hyperreflexic] with [presence/absence] of Babinski sign. Rectal tone: [present/absent]. Diaphragmatic breathing noted.
Treatment Protocol
Immediate stabilization of cervical spine. Maintain MAP between 85-90 mmHg for spinal cord perfusion. Administer high-dose methylprednisolone if within 8-hour window per protocol. Monitor for autonomic dysreflexia and respiratory insufficiency. Early surgical decompression and stabilization indicated. DVT prophylaxis and bowel/bladder management initiated.