Quadriplegia is a symptom of paralysis that affects all a person’s limbs and body from the neck down. The most common cause of quadriplegia is an injury to the spinal cord in your neck, but it can also happen with medical conditions. Quadriplegia is sometimes treatable, but most cases — especially those due to injuries — result in permanent paralysis.
Quadriplegia is a pattern of paralysis — which is when you can’t deliberately control or move your muscles — that can affect a person from the neck down. Depending on how and why it happens, it can affect your ability to move parts of your body, as well as some of your body’s automatic processes that keep you alive.
Quadriplegia (also known as tetraplegia; see below for an explanation of these terms) is usually a symptom of other problems, but there are some instances where it’s a standalone condition. Overall, quadriplegia is the most common symptom of traumatic spinal cord injury, happening in about 60% of cases.
There are also two main ways, complete and incomplete, that quadriplegia can happen.
There are also two main ways that paralyzed muscles act in quadriplegia:
The words “quadriplegia” and “tetraplegia” mean the same thing: paralysis below the neck that affects all of a person’s limbs. The reason that there are two terms with the same meaning is because of differences in ancient languages.
There are three ancient root words from two different languages involved in these terms:
So, while both words mean the same thing, “quadriplegia” mixes Latin and Greek. Experts usually consider “tetraplegia” the correct term because it doesn’t mix parts of two different languages.
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Your spine has several sections. The cervical spine (often shortened to C-spine) is the section in your neck. There are seven vertebrae (the word for one of these is “vertebra”), interlocking bone segments, which make up your C-spine. Your C-spine also includes eight spinal nerves, which run in-between vertebrae and lead to different areas of your body.
The effects of a problem with a spinal cord can vary widely depending on where exactly it happens. There are also varying definitions of “paralysis.” Some experts define it as a total loss of muscle control, while others include muscle weakness under the definition. Because of that, some definitions of quadriplegia include limited movement ability in your arms or hands.
Healthcare providers use a letter-number combination to talk about sections of the spine and related spinal nerves. For example, the fifth cervical spinal nerve is known as C5. Quadriplegia can happen when there’s a complete or incomplete spinal cord injury anywhere between C1 and C8. The higher the injury, the more dangerous the effects.
The effects, depending on location, are as follows:
There are many possible causes of quadriplegia. The most common reason people have this symptom is trauma (injury) to their spinal cord. The most common causes of trauma include:
Other problems that can cause quadriplegia include, but aren’t limited to, the following:
The treatments for quadriplegia can vary widely depending on the cause and where in your spine the problem happens. The potential to recover from quadriplegia can also vary.
With trauma, the first priority is to limit the damage as much as possible and prevent more from happening. That usually involves immobilizing a person using specialized backboards, collars or braces to keep their spinal cord stable and prevent anything from pressing into or damaging it.
Other ways to prevent damage to the spinal cord from injuries and trauma include:
Because of these factors, a healthcare provider is the best person to explain the situation. They can offer you guidance and relevant information for your specific situation, including the possible treatments and the side effects or complications that can happen with those treatments.
IMPORTANT: If you’re with someone who has an injury that could affect their spine, it’s very important that you call 911 (or your local emergency services number immediately) and avoid doing anything that could make the injury worse.
Quadriplegia is a symptom of a problem that happens with many conditions and problems that affect your brain or spinal cord. Many of these problems and conditions are dangerous or deadly. Because of that, you shouldn’t try to self-diagnose or self-treat quadriplegia.
Even small movements or shifts in vertebrae and tissue around your spinal cord can lead to permanent damage. Only trained medical professionals or first responders should attempt to move someone with a possible spinal cord injury. The ONLY exception to this guidance is if the injured person is at risk for immediate injury or death if you don’t move them (such as in the event of a motor vehicle crash where the person is in a vehicle that may catch fire).
The most common cause of quadriplegia (trauma) is often preventable. The best things you can do to prevent spinal injuries and trauma are:
A healthcare provider should ALWAYS examine and treat quadriplegia.
Spastic quadriplegia is a form of paralysis that happens because the affected muscles aren’t receiving signals from your brain. Without those signals, muscles can sometimes move on their own. Because these muscle movements are uncontrollable, this is still a form of paralysis.
The life expectancy for people with quadriplegia can vary widely depending on many factors. These factors include a person’s age, the location and severity of the injury, whether or not it affects their ability to breathe on their own and more.
Thanks to advances in modern medicine, treatment techniques, and assistive devices and therapies, people with quadriplegia can live for years or even decades. However, because life expectancy can vary widely, a healthcare provider is the best person to tell you what’s most likely to happen in your case.
People with incomplete quadriplegia can sometimes move or use their arms and hands. Whether or not they can do so depends on the level and severity of the injury. The higher up the spine an injury happens, the less likely that hand or arm use is possible. A healthcare provider can tell you more about what to expect in specific situations.
In some cases — though these are usually rare — quadriplegia is temporary or even curable. This is most likely when the problem involves disruptions in how the spinal cord works that don’t permanently damage or affect your spinal cord’s structure. Examples of these include infections or benign tumors. In general, a healthcare provider is the best person to tell you if quadriplegia is curable, as they can consider all the factors involved before telling you what you can and should expect.
One of the most common forms of temporary quadriplegia is a type of spinal compression that occasionally happens in athletes, especially football players. This is “transient quadriplegia,” and athletes often call this a “stinger” or “burner.” Those names come from the intense stinging or burning, especially in one or both hands, that a person feels, along with an inability to move their limbs
The effects of transient quadriplegia usually go away in 10 to 15 minutes but can take up to two days. Athletes who experience this also need immediate medical attention from qualified personnel (such as certified athletic trainers) to make sure they don’t have an injury to their spine or spinal cord that could cause permanent damage and paralysis.
IMPORTANT: When transient quadriplegia affects more than one limb, it should be treated like a medical emergency, and trained personnel should immediately respond as if the affected person has a spinal injury. That means the injured person needs immobilization to prevent further injury, and they need to go to a hospital right away so a healthcare professional can assess if they have an injury and begin treatment if necessary.
A note from Cleveland Clinic
Quadriplegia can be a frightening or devastating symptom of an injury to your spinal cord or brain. Depending on how and why it happens, quadriplegia is often permanent. Modern treatments and medical advances can offer some hope of recovery, but these vary widely from case to case. For those who face long-term or permanent effects, many assistive technologies and devices are now available, which can help those individuals with quadriplegia adapt and live more comfortably
Last reviewed by a Cleveland Clinic medical professional on 08/10/2022.
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