Neurogenic Shock: Which Specialist to Consult?

Neurogenic shock

Hello, doctor: I would like to ask whether neurogenic shock should be referred to psychiatry or neurology.
"Neurogenic shock" is a type of shock that occurs due to spinal cord injury or anesthesia, leading to the loss of neurogenic reflexes or vascular resistance, resulting in inadequate tissue perfusion, where the loss of neurological function is more pronounced than circulatory failure.
This is the information I have gathered! I would like to know what to do if it is related to anesthesia.
(I have a history of fainting twice after injections; however, the doctors said it was due to my anxiety.
But I personally feel it is related to the anesthetic, as I had two teeth extracted last month—there were no issues the first time, but after the second extraction, where I received two doses of anesthetic, I fainted shortly afterward.) I still have one more tooth to extract, but I am afraid to go (the first time I fainted was three years ago due to a persistent high fever).
I hope you can help me with this! Thank you!

pinggu, 20~29 year old female. Ask Date: 2004/06/16

Dr. Lai Lunxiang reply Neurology

The symptoms you described are not indicative of neurogenic shock; they should be referred to as a drug allergy (specifically the symptoms associated with anesthetics).
When seeking medical attention, please provide a detailed account of your experience to the physician, and request a different anesthetic agent.

Reply Date: 2004/06/16

More Info

Neurogenic shock is a serious medical condition that occurs when there is a disruption in the autonomic nervous system, often due to spinal cord injury or severe trauma. This disruption can lead to a loss of vascular tone, resulting in hypotension (low blood pressure) and inadequate blood flow to vital organs. The symptoms can include dizziness, fainting, a wide pulse pressure, and warm, dry skin. Given the complexity of neurogenic shock, it is essential to consult the appropriate medical specialists for diagnosis and treatment.

In your case, if you suspect that your symptoms are related to neurogenic shock, it is advisable to consult a neurologist. Neurologists specialize in disorders of the nervous system, including the brain, spinal cord, and nerves. They can evaluate your symptoms, conduct necessary tests, and determine if there is an underlying neurological condition contributing to your experiences. If your symptoms are indeed related to a spinal cord injury or another neurological issue, a neurologist will be best equipped to manage your care.

On the other hand, if your symptoms are more psychological in nature, such as anxiety or panic attacks related to your experiences with anesthesia, a psychiatrist or psychologist may be more appropriate. Mental health professionals can help you address anxiety, stress, and any fears you may have about medical procedures, including dental work. They can provide coping strategies, therapy, or medication if necessary.

Regarding your concerns about anesthesia, it is not uncommon for individuals to experience anxiety related to medical procedures, especially if they have had previous negative experiences. If you have a history of fainting or feeling unwell after receiving anesthesia, it is crucial to communicate this with your dentist or oral surgeon before your next procedure. They may be able to adjust the type or amount of anesthetic used or take additional precautions to ensure your safety.

If you are feeling anxious about your upcoming dental work, consider discussing your fears with your dentist. They may offer options such as sedation dentistry, which can help you feel more relaxed during the procedure. Additionally, practicing relaxation techniques, such as deep breathing or mindfulness, can help manage anxiety before and during the appointment.

In summary, for concerns related to neurogenic shock or neurological symptoms, consult a neurologist. If your symptoms are more psychological, consider seeing a mental health professional. Always communicate your medical history and any concerns with your healthcare providers to ensure you receive the best possible care tailored to your needs. Remember, it is essential to address both physical and mental health aspects when dealing with complex medical issues.

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