Thursday 27 November 2014

PARAPLEGIA POST D3 SPINE #

CASE NUMBER  : 4
CASE                : D3# SPINE, PARAPLEGIA

NAME      : RAM GANESH
AGE         : 35/MALE
STATURE : MODERATLEY WELL BUILT

This patient came to us, in the same condition as the case number 3, in a stercher, after a car accident, while travelling from tamil nadu to kerala, when this patient, who is a business man, was driving the car, and it got out of control from his hand as it was night time, and got hit over a tree ! The car driver who accompanied him died on the spot, but , the patient, got severly hurt over d3 spine, immediately renedering him unconsious and paralysed below the diaphgram. He was fed through naso gastric tube but got lung infection , and hence was fed through PEG, with the tube directly fed through the stomach. He was severly depressed and that was the main obstruction to the treatment which was extended to one month more when comparing the previous patient (case 3). The patient was reluctant in doing exercises as he said he felt pain and tingling sensation over feet. He got his touch sensation and pain sensation recovered. He moved his feet satisfactorily, so the lower limb power raised from 0/5 to 2+/5.He is given physio at home now and is expected to walk at around six months. His anxious father was a half relieved, and we confirmed him that he will definitely walk like a normal person,and do all his activities by himself. Also the neurologist treating this patient approved this result as genuine and above average by standards and said that it is not possible with other treatments. So all the ayurvedic doctors can now proudly say that , yes we can produce genuine results which can be documented. It is only due to lack of proper documentations that many cases are gone unreported into oblivion of the past, nonetheless Ayurveda is eternal, that it has surpassed the barriers of time, and is still on par with contemporary medicine ! All injuries to nerves,, including cervical myelopathies and syingomyelias can be deemed as sadhyas instead of yapyas ! You must convincingly say that you can return to normal life and it is truth ! If nerves are dead then there is no pulsation and impulse, so there is no life, that is the logic to prove this results.

-inability to move both LL since 9 months
-touch sensation present
-no pain sensation present
-burning sensation present
-no numbness
-no seizures
-intermittent fasciculations
-memory/hearing/vision normal
-no headache/dizziness/vomitting
-no bowel/bladder control
H/O

RTA 9 months back on December 31, 2013, was conscious, 10 days in ICU, 15 days kept in normal ward, discharged, continually fever present afterwards, got breathing trouble and cold, readmitted to ICU, kept therefor 4 months. Was fed through nasal tube, but later changed to stomach tube due to chest infections. Traceostomy done. Catheter removed 5 months back. Had history of recurrent UTI. Now no UTI/Fever/Respiratory problem.
History of past illness :
D3-D4 laminectomy & evacuation of heamatoma with duroplasty
DVT as par US doppler lower limb IVC Filter placed
Low blood pressure
Tracheostomy
PEG placed after gastro surgery opinion
Psychiatric manifestations.
G/E
Appetite : normal
Bowel    : normal
Urine    : normal
Bowel    : normal
Sleep    : normal
BP       : 110/80 mmhg
Pulse    : 76/mt
O/E
Gait : not possible
DTR  :
Ankle jerk-absent
Knee jerk-absent
Biceps jerk-aggravated
Triceps jerk-aggravated
Power :
Hip-0/5
Knee-0/5
Ankle-0/5
Shoulder-4/5
Elbow-4/5
Wrist-4/5
Grip-2+/5

PARAPLEGIA POST D3#

MRI CERVICAL SPINE 1/1/2014
Significant epidural hematoma seen in the antero-lateral aspect of spinal cord at D4
Minimal extension of hematoma into D1,D2,D3
Contusion of interspinous ligament at C7,D1,D2,D3
Disruption of ligamentum flavum at D3D4
Disruption of supraspinatus ligament at D2
Complete tear of atlanto occipital ligament
Tear drop #L2
Avulsion # invovling left side alar ligament at attachment of left condylar process of occip[ital bone.

MRI THORACIC 21/1/2014
Evidence of CSF dense fluid collection measuring abt 6.0*3.0 CM seen in post aspect of D2,D3,D4,D5
Mild compression of thecal sac and spinal cord
Focal intensity area in CS at level of C7-D7

BLOOD REPORT 26/9/2014
RBS-90
UREA-20
CREATININE-0.8
TOTAL CHOLESTROL-203
CALCIUM-9.5
LFT-NORMAL
NA-142.9
K-4.1
CL-107
TC-5.9
HB-14.7
RBC-5.2
PLT-225
ESR-30/65

BLOOD REPORT 16/10/2014
ESR-30/70
RBS-98
UREA-38
CREATININE-0.9
NA-142
K-4
CL-108
LFT-ALBUMIN 2.7

URINE ROUTINE 24/10/2014
Albumin-trace
Pus cells-15 to 20
Epithelial cells-10 to 15
Others-bacteria present
Red cells-occassionally
NA-144
K-4.2
CL-109

URINE CULTURE REPORT 21/10/2014
E.coli isolated in culture colony >10^5CFU/ml of urine
Norfloxacine resistance

BLOOD REPORT 5/11/2014
ESR-20/50
RBS-95
SGOT-17
SGPT-15
ALP-179
UREA-20
CREATININE-0.9
NA-143
K-4.4
CL-109

BLOOD REPORT 23/11/2014
ESR-15/40
RBS-134
ALP-137
SGOT-10
SGPT-12
TOTAL CHOLESTROL-209
NA-142
K-4.2
CL-108
TC-4.6
RBC-4.8
PLT-175

INTERNAL MEDICINES :
Choorna swedam   : 49 days
Pizhichil        : 30 days
Anuvasana vasti  : 09 days
Rajayapana vasti : 05 days
Njavara kizhi    : 13 days
Exercise         : 60 days
TREATMENT DONE FOR AROUND TWO MONTHS.

MEDICINES ON DISCHARGE;

Ashtavargam+Danadanayanadhi k.s:15ml 6am/6pm b/f
Sahacharadhi+Dasamoola k.s:15ml 12noon b/f
Cap.Nervin:1tds a/f
Vidaryadi ks:15ml 6am/6pm BF
Dhanvantharam 101:6drps with k.s
Maha Rasnadhi ks:15ml 12noon b/f
Cap.Nervin:1-1-1 AF
T.Rootz:1-1-1 AF
Sahacharadi+Dhanwantaram thailam
Pinda thailam.

2 comments:

  1. my peroneal nerve not active sir lam meet your hospital my mob.8637456372

    ReplyDelete
  2. Great content with indepth analysis. You have covered almost all the aspects of Ayurvedic healing. Keep up the great work.
    Ayurveda panchakarma in idukki

    ReplyDelete