CME Review ArticleAcute Spinal Cord Injury and Neurogenic Shock in PregnancyGilson, George J.; Miller, Anthony C.; Clevenger, Frederick W.; Curet, Luis B. Author Information The University of New Mexico School of Medicine, Division of Maternal Fetal Medicine, Departments of Obstetrics and Gynecology, Anesthesiology and Critical Care, and Surgery, Albuquerque, New Mexico. Reprint requests to: George J. Gilson, MD, 4-ACC, 2211 Lomas NE, Albuquerque, NM 87131. Authors whose names are accompanied by an asterisk (*) have indicated, in accordance with the Accreditation Council for Continuing Medical Education (ACCME) Standards, that they have a relationship which could be perceived by some people as a real or apparent conflict of interest, but do not feel it has influenced their participation. Obstetrical & Gynecological Survey 50(7):p 556-560, July 1995. Buy Abstract A case of a pregnant woman with a subluxation of C-6 on C-7 with acute quadriplegia and sensory loss to the T-10 dermatone is described. Hemodynamic and fetal monitoring during the 3-week period of neurogenic shock resulted in good maternal and fetal outcomes. Pulmonary complications and anesthetic issues are important aspects of the care of these critically ill patients. Major trauma is a common cause of death and disability in young adults and may contribute to as much as 15 percent of nonobstetric maternal deaths. Spinal cord injuries involve young women in 15 percent of cases. The literature is replete with information on the obstetric management of patients with preexisting spinal cord injury (1-4) but there is little on the management and special problems of the pregnant patient with acute spinal cord trauma. We report here the management of a case of acute cord transection accompanied by spinal shock and discuss the specific maternal as well as fetal considerations in this syndrome. © Williams & Wilkins 1995. All Rights Reserved.