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Help! Loss of function

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    Help! Loss of function

    Cisco was going to my brothers funeral on a bus supplied by my family that wasn't accessable, so they had to carry him up and down the stairs 6 times. It was kind of rough and I can't figure out what happened. Help! Right after the last time we went in to eat and he noticed he couldn't hold his fork. He is a c5 quad with tight hands and tendonisis, so he holds things very well. His entire right arm is limp and paralyzed. He can't pull his wrist up and it was his strong arm. His tricep is not working either. I'm freaking out because he drops everything. What could have caused this paralysis after 6 years and will it go away?

    #2
    I'd say get to the hospital. Sudden lose is BAD.

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      #3
      We went to the hospital. No broken bones just swelling in hand. They said in the ER they don't know what it can be.

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        #4
        this could be serious, I lost up to 1.5 levels after 10 years injury. Could be syrinx, very serious. Ask for Dr. Wise Young s advice, he is presently in this forum. I had surgery in Miami from Dr. Green, but never recovered lost function. Good luck

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          #5
          You need to get him an MRI NOW. You need to get a neurologist to look at the MRI immediately. I would also keep him stable, and not moving around as he was when he was going up the stairs.
          Please hurry.
          Please donate a dollar a day at http://justadollarplease.org.
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          Thanks!

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            #6
            I agree getting an MRI immediately is your best bet. Syrinx are very common, often at the site of injury. however, if it grows it presses against your spinal cord causing more loss of function. Only way I know to check up on it is to get that MRI. Good luck, hope things work out 4 the best.
            Don't wish for it, work for it.

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              #7
              We will get an MRI on Monday morning. You guys are freaking me out more. He will stay in bed till then but can it get worse till then?

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                #8
                Shamrocks, I also had surgery in Miami with Dr Green and never regained what I lost and was worse after surgery.

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                  #9
                  My bet is, brachial plexus injury from carrying him under his arms. Hopefully reversible. Does not sound like a syrinx.
                  Best of luck.

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                    #10
                    Jenn,

                    I am sorry that I have been on the road and did not have the time to post earlier. There is no need to freak out.

                    From your description, particularly the facts that it is sudden onset, mostly on the right side, and involves the hand (C8), triceps (C7), and wrist extensors (C6)... I think that it is a periphal nerve injury and probably the brachial plexus. This is because a spinal cord lesion (whether due to herniated disc or syringomyelic cyst) usually would involve both sides and a disc herniation very seldom would suddenly affect three spinal roots at one time.

                    An MRI may be useful for ruling out a spinal cord or root compressioni but, as I pointed out above, this is a low probability event. A CT scan would be useful for showing any changes in his bony spine. The definitive test would be an EMG that stimulate the peripheral nerve and see where the action potential goes and where it stops. One nerve that may explain all the findings is the long thoracic nerve which emanates from C6, C7, and C8. The following is a great diagram and explanation of brachial plexus anatomy

                    http://depts.washington.edu/anesth/r...usanatomy.html

                    If Cisco has peripheral nerve injury, it is important to know where the injury is and whether the cause of the injury is still present and relievable, and to make sure that it is protected. Most peripheral nerve injuries will recover without intervention, as long as the cause of the injury is stopped and physical therapy is aggressively pursued to prevent muscle atrophy and other problems associated with peripheral neve injuries.

                    Wise.
                    Last edited by Wise Young; 30 Apr 2006, 12:29 PM.

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                      #11
                      Thank you so much, I feel much better now. Should we see his neurologist? Or do you think it will come back? How long does it take to come back because it's been 4 days and I will go to the doctor tomorrow, if you think we should. What tests do I ask for?

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                        #12
                        WE can wait for Wise's answer but I would have him see the neurologist to verify if it is peripheral nerve injury.

                        AAD
                        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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                          #13
                          Mike, when was your surgery in Miami? I was injured in June 86, in winter of 96 I started losing function in my right arm, I was a classic c5 injury. Had biceps, deltoids etc., could drive my chair with hand, and could feed myself with universal splint.

                          Suddenly started losing function in winter 96, was diagnosed with syrinx at Boston University --- where they wanted to put a shunt in. A surgeon in Boston recommended I go see Dr. Green regarding new "unteathering" surgery he had begun performing. Meanwhile my arm became increasingly weak, had to train myself to drive wheelchair and eat etc. with my left hand, which was substantially weaker. After surgery never got function returned in either arm. So last 10 years have been c4 on Sip n puff chair. Basically same level as Marc B ---, who I met at Jackson, nice guy.

                          I was basically told that this cyst could continually escalate & lose breathing function etc. so I thought surgery with green was the way to go, in Boston using shunts doctors weren't having very much luck at all.

                          I have heard Dr. Young speak positively about this surgery previously at conventions, personally I really liked Dr. Green, he seemed very honest and was very accommodating to myself and Family while we were in Miami, which turned out to be quite a ordeal. Obviously I wish surgery turned out more positive. He had told me about 50 percent I might get some function back, 25 percent stay same, 25 percent lose some function. Sorry to hear your surgery didn't work out that well either. Let me know about your experience, I was there between May & October 96.

                          From what Dr. Young just said previously, I hope like Hell I didn't have some temporary nerve injury that would have healed. Because mine was definitely only in one arm, and did appear suddenly.

                          Shamrock ---

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