Spinal Shock - Phases of Spinal Shock

Phases of Spinal Shock

Phase Time Physical exam finding Underlying physiological event
1 0-1d Areflexia/Hyporeflexia Loss of descending facilitation
2 1-3d Initial reflex return Denervation supersensitivity
3 1-4w Hyperreflexia (initial) Axon-supported synapse growth
4 1-12m Hyperreflexia, Spasticity Soma-supported synapse growth

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