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=== Neurogenic shock ===
[[File:AmericanBabyInShockAfterCircumcision.jpg|thumb|American baby in shock after circumcision]]
In neurogenic shock, a nervous failure of the regulation of circulatory and / or vascular tone results in circulatory failure. Common causes of neurogenic shock are lesions of the spinal cord, spinal anesthesia and injuries or intoxication of the central nervous system (e.g. traumatic brain injury in a traffic accident). Cancer, meningitis and brain inflammation (encephalitis) are also among the causes of neurogenic shock. '''Functional neurogenic shock is less common, for example in the case of very strong pain stimuli.'''<ref>{{REFweb
|url=https://de.wikipedia.org/wiki/Schock_(Medizin)#Neurogener_Schock
|title=Schock (Medizin) #Neurogener Schock
|website=Wikipedia
|accessdate=2020-12-20
}}</ref>
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Shock is divided into four main types based on the underlying cause: low volume, cardiogenic, obstructive, and distributive shock. Low volume shock, also known as hypovolemic shock, may be from [[bleeding]], diarrhea, or vomiting.[1] Cardiogenic shock may be due to a heart attack or cardiac contusion. Obstructive shock may be due to cardiac tamponade or a tension pneumothorax. Distributive shock may be due to sepsis, anaphylaxis, injury to the upper spinal cord, or certain overdoses.</blockquote>
The American Academy of Pediatrics advised:
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=== Neurogenic shock ===[[File:AmericanBabyInShockAfterCircumcision.jpg|thumb|American baby in shock after circumcision]]In neurogenic shock, a nervous failure of the regulation of circulatory and / or vascular tone results in circulatory failure. Common causes of neurogenic shock are lesions of the spinal cord, spinal anesthesia and injuries or intoxication of the central nervous system (e.g. traumatic brain injury in a traffic accident). Cancer, meningitis and brain inflammation (encephalitis) are also among the causes of neurogenic shock. '''Functional neurogenic shock is less common, for example in the case of very strong pain stimuli.'''<ref>{{REFweb |url=https://de.wikipedia.org/wiki/Schock_(Medizin)#Neurogener_Schock |title=Schock (Medizin) #Neurogener Schock |website=Wikipedia |accessdate=2020-12-20}}</ref>
== Hypovolemic shock ==
Every operation, including [[circumcision]], can lead to severe blood loss, which can lead to a “traumatic-hemorrhagic shock” (bleeding as a result of traumatic effects).