Concluded Case

Cervical spine injury

He is 50 years old RTA and he is injurious in cervical spine and loss of movement and sensory suggest the best way of treatment

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Cervical degenerative disc disease Canal stenosis Tethering of cord Likely to have suffered a whip lash injury considering these factors Likely to benefit from anterior corpectomy and fusion Neurosurgery evaluation for the same Neurological recovery not guaranteed Consider Solumedrol infusion over 24 hrs

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Cervical degenerative disc disease Canal stenosis Tethering of cord Likely to have suffered a whip lash injury considering these factors Likely to benefit from anterior corpectomy and fusion Neurosurgery evaluation for the same Neurological recovery not guaranteed Consider Solumedrol infusion over 24 hrs

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Ct brain is showing hypodense area in parieto occipital area lt side suspicious of ICH since holding of film is not accurate may be artifact also You said cervical injury no bony injury is seen except cervical spondylitis Whenever there is cervical injuries most presenting symptoms are quaderiplegia hence detail history is important

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How old is the injury ? Muscle charting myotome wise, sensory documentation dermatome wise, if acute stage , neurosurgery eval needed. Post surgical/ medical management, extensive rehabilitation needed. Counseling for patient and family. Contact for further assistance in regards to the same..

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Neuro surgeon

Need a thorough assessment (sensory,motor,reflexes, coordination, balance,FIM scoring and ASIA impairment scale ). According to that we can design a complete rehabilitation protocol.

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The clarity of your history isnt there for suggestion of a treatment.The injury, the level of spine involved, the symptoms of the patient, and ur own evaluation as to ROM, sensory, Motor power.