CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2018; 37(03): 196-205
DOI: 10.1055/s-0036-1584887
Review Article | Artigo de Revisão
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Neurogenic Shock: Clinical Management and Particularities in an Emergency Room

Article in several languages: English | português
Daniel Damiani
1   Department of Neuroscience, Universidade Anhembi Morumbi, São Paulo, SP, Brazil
› Author Affiliations
Further Information

Publication History

13 April 2016

10 May 2016

Publication Date:
25 October 2016 (online)


Neurogenic shock has a strong impact in traumatology. It is an important condition, associated with lesions in the neuraxis and can be medullar and/or cerebral. In the last years, its pathophysiology has been better understood, allowing a reduction in the morbimortality with more precise and efficacious interventions taking place in the emergency room. In this review article, the author presents the current aspects of the management of neurogenic shock, highlighting the neuroprotective measures that improve the outcome. Many pharmacologic interventions are still questionable and need more prospective studies to accurately assess their real value. The best moment for neurosurgical intervention is also debatable. Quite clearly, the initial proceedings in the emergency room are fundamental to guarantee the adequate conditions for neuroplasticity and neuronal rehabilitation.