Management of Spinal Cord Injuries - Case Study Part 2: Difference between revisions

No edit summary
No edit summary
Line 17: Line 17:
=== Day 3 - 72 Hours Post Injury ===
=== Day 3 - 72 Hours Post Injury ===
*ASIA Assessment - C4 ASIA B   
*ASIA Assessment - C4 ASIA B   
*Some Returned Sensation Lower Limb but Altered  
*Some Returned Sensation but Altered
**S4/5 Grade 1 Bilaterally
*Minimal Motor Function below Level
*Minimal Motor Function below Level
*Elbow Flexors Grade 1 Right
**Elbow Flexors Grade 1 Right


=== Day 7 ===
=== Day 7 ===
*ASIA Assessment - C5 ASIA B  
*ASIA Assessment - C5 ASIA B  
*Increased Sensation S2 - S5 below Lesion  
*Increased Sensation below Lesion
*Increased Motor Function Bilaterally  
**S2 Grade 1 
*Elbow Flexors Grade 2 Right, Grade 1 Left  
**S3 Grade 1 
*Wrist Extensors Grade 1 Right, Grade 1 Left  
**S4-S5 Grade 1  
*Increased Motor Function Bilaterally
**Elbow Flexors Grade 2 Right, Grade 1 Left  
**Wrist Extensors Grade 1 Right, Grade 1 Left  


=== Day 10 ===
=== Day 10 ===

Revision as of 00:38, 28 May 2019

Original Editor - Your name will be added here if you created the original content for this page.

Top Contributors - Naomi O'Reilly, Kim Jackson, Tarina van der Stockt, Tony Lowe, Rucha Gadgil and Jess Bell  

Presenting Condition[edit | edit source]

For background information go to Management of Spinal Cord Injuries - Case Study Part 1

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 
  • Some Returned Sensation but Altered
    • S4/5 Grade 1 Bilaterally
  • Minimal Motor Function below Level
    • Elbow Flexors Grade 1 Right

Day 7[edit | edit source]

  • ASIA Assessment - C5 ASIA B
  • Increased Sensation below Lesion
    • S2 Grade 1
    • S3 Grade 1
    • S4-S5 Grade 1
  • Increased Motor Function Bilaterally
    • Elbow Flexors Grade 2 Right, Grade 1 Left
    • Wrist Extensors Grade 1 Right, Grade 1 Left

Day 10[edit | edit source]

  • Scheduled for Transfer to Spinal Unit for Ongoing Management

Week 5[edit | edit source]

  • ASIA Assessment - C5 ASIA C
Classification of Spinal Cord Injury Week 5

Functional Assessment[edit | edit source]

Spinal Cord Independence Measure (SCIM). To find out more about completing the SCIM check out this video

Spinal Cord Independence Measure - Part 1
Spinal Cord Independence Measure - Part 2