Neurogenic shock occurs after an injury to the spinal cord. Sympathetic outflow is disrupted resulting in unopposed vagal tone. The major clinical signs are hypotension and bradycardia. Acute spinal cord injury is most commonly seen with blunt trauma accounting for approximately 85 to 90 percent of cases. The most commonly affected area is the cervical region, followed by the thoracolumbar junction, the thoracic region, and the lumbar region. Neurogenic shock must be differentiated from “spinal” shock. Spinal shock is defined as temporary loss of spinal reflex activity occurring below a total or near-total spinal cord injury.