Management of Spinal Cord Injuries - Case Study Part 2: Difference between revisions
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== Presenting Condition == | == Presenting Condition == | ||
=== Day 1 - 2 Hours Post Injury === | |||
*ASIA Assessment - C4 ASIA A | |||
*Assessment - C4 ASIA A | |||
*No Motor or Sensory Function below Lesion | *No Motor or Sensory Function below Lesion | ||
=== Day 2 - 28 Hours Post Injury === | |||
* Spinal Fixation at C4 - C8 with Spinal Decompression | |||
* ASIA Assessment - C4 ASIA A | |||
*Assessment - C4 ASIA B | === Day 3 - 72 Hours Post Injury === | ||
*ASIA Assessment - C4 ASIA B | |||
*Returned Sensation Right Upper Limb and Trunk but altered | *Returned Sensation Right Upper Limb and Trunk but altered | ||
*No Motor Function below Level | *No Motor Function below Level | ||
=== Day 7 === | |||
*ASIA Assessment - C5 ASIA B | |||
*Assessment - C5 ASIA B | |||
*Increased Sensation Right Side below Lesion | *Increased Sensation Right Side below Lesion | ||
*Increased Motor Function Left Side > Right Side | *Increased Motor Function Left Side > Right Side | ||
*Biceps Grade 3 Bilateral | *Biceps Grade 3 Bilateral | ||
*Wrist Extensors Grade 2 Left, Grade 1 Right | *Wrist Extensors Grade 2 Left, Grade 1 Right | ||
*Elbow Extensors Grade 1 Bilaterally | *Elbow Extensors Grade 1 Bilaterally | ||
=== Day 10 === | |||
*Scheduled for Transfer to Spinal Unit for Ongoing Management | *Scheduled for Transfer to Spinal Unit for Ongoing Management | ||
=== Week 5 === | |||
*ASIA Assessment - C5 ASIA C | |||
*Increased Motor Function Left Side below Level | |||
*Biceps Grade 4 Left, Grade 3 Right | |||
*ASIA Assessment | *Wrist Extensors Grade 2 Left, Grade 1 Right | ||
*Elbow Extensors Grade 1 Bilaterally | |||
== Functional Assessment == | == Functional Assessment == | ||
Revision as of 01:16, 7 March 2019
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Presenting Condition[edit | edit source]
Day 1 - 2 Hours Post Injury[edit | edit source]
- ASIA Assessment - C4 ASIA A
- No Motor or Sensory Function below Lesion
Day 2 - 28 Hours Post Injury[edit | edit source]
- Spinal Fixation at C4 - C8 with Spinal Decompression
- ASIA Assessment - C4 ASIA A
Day 3 - 72 Hours Post Injury[edit | edit source]
- ASIA Assessment - C4 ASIA B
- Returned Sensation Right Upper Limb and Trunk but altered
- No Motor Function below Level
Day 7[edit | edit source]
- ASIA Assessment - C5 ASIA B
- Increased Sensation Right Side below Lesion
- Increased Motor Function Left Side > Right Side
- Biceps Grade 3 Bilateral
- Wrist Extensors Grade 2 Left, Grade 1 Right
- Elbow Extensors Grade 1 Bilaterally
Day 10[edit | edit source]
- Scheduled for Transfer to Spinal Unit for Ongoing Management
Week 5[edit | edit source]
- ASIA Assessment - C5 ASIA C
- Increased Motor Function Left Side below Level
- Biceps Grade 4 Left, Grade 3 Right
- Wrist Extensors Grade 2 Left, Grade 1 Right
- Elbow Extensors Grade 1 Bilaterally
Functional Assessment[edit | edit source]
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