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Spinal Stroke, Delayed Injury, Fibrocartilaginous Embolism

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    Spinal Stroke, Delayed Injury, Fibrocartilaginous Embolism

    Note on unexplained Spinal Injury & Spinal Stroke

    Following extensive investigation of the causes of spinal strike without apparent explanation, the following case has been proven by a team of bio mech engineers, leading neurologists and other contributors in the spinal research field. A scientific paper is being prepared for publication.

    1. Spinal stroke may occur many weeks or months after a primary event involving sudden straightening of the spine due to physical trauma such as impacts, sudden athletic overstrains, certain sports activities and other daily activity not providing immediate neurological symptoms.

    2 The classic spinal stroke onset and symptoms may occur following subsequent minor overstrains or lesser impacts many weeks later. The detailed mecanism of sudden vascular obstruction is now established.

    3. Aspirin at the time of final onset has been identified as one of the few medicines that should be administered according to latest published research.

    4. anyone wishing with to obtain qualifying references for these comments should contact me directly for references and or the unpublished studies.

    5. these phenomenon may account for up to 20% of spinal strokes.

    6 There is now an established diagnosis protocol which should be observed in A & E before cauda equina or other potential diagnoses become dominant theories.


    7. the full detailed physical history for 3 months prior to onset should be very carefully considered in diagnosis.

    #2
    I lived in nursing homes for a year and a half. During that time, I came in contact with several residents (patients) who had paralysis due to strokes. It seemed to me that the majority of those that I had exchanges with also had difficulty expressing themselves. When reading the above information, it occurred to me that doctors probably have a hard time questioning their patients to get that "full detailed physical history for 3 months prior to onset". You would be an exception in this regard, Romoco, as you seem very alert and articulate. But have you been around others who have had strokes, and have you seen examples of what I'm talking about?
    Female, T9 incomplete

    Comment


      #3
      Ronnoco is referring to SPINAL CORD stroke, not brain stroke (CVA). Spinal cord stroke does not result in brain damage, so speech or cognition is not impaired.

      (KLD)
      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.

      Comment


        #4
        Hello
        Any stroke can be traumatic and the ability to recall important details and tell tale signs is very difficult following a stroke event which is perceived as being the key event. The tell tale signs connected to mini stroke are vital indicators and links to prior trauma which may account for the origin of the injury. In my case, the ability to recall clearly and look past over months of events was by no means an easy task to think about, remain motivated about or express even though maintaining full cerebral cognitive function. When I did get to grips with what actually happened, I found that the persons who has immediately dealt with me had firmed viewed which became deeply embedded and intractable.

        The process of investigation of spinal strokes could do with some kind of protocol with key questions built in. At the moment there is none such as far as I am aware and thus may becoart of a future work in which I am involved.

        Eventually a specialist recognised what I had to say and found value in it.

        Comment


          #5
          Yes, I wasn't aware of spinal cord stroke. I was hit by a car. Then had two surgeries, and was put on oxycodone. Even without having a brain stroke, I lost count of time and would have had a hard time stringing together all the events in my recent history. When I was able to access my email, I was amazed at some of my college-related balancing acts that had seemed so important at the time. I was fascinated that this was what I had written about myself...and this was without having had any stroke at all!

          I'm glad you were able to re-trace your steps, Ronnoco, and I hope you will get to participate in that process of investigation.

          I didn't quite understand this part of your post, Ronnoco. Would you expand on it, please?
          "...I found that the persons who has immediately dealt with me had firmed viewed which became deeply embedded and intractable."
          Female, T9 incomplete

          Comment


            #6
            Excusevthe typographical errors, my tablet uses predictive text in a foreign language.

            What I mean is that on the day of arrival to hospital, I was asked what happened and I Made various comments about what I thought could be relevant. This became the dominant story in my medical history and was transcribed again and gain from hospital, after some day, weeks and months I recalled more detail about what happened beforehand.vi tried to get these new points added to the medical notes but they kept getting overlooked. I was blue in the face trying to get the real events into the medical notes knowing full well that what was on paper would count most in case a real specialist would come along and see a pattern which was most clear to me.

            Comment


              #7
              And to put it more bluntly, anybody who suffers a spinal cord injury and sudden onset of dire symptoms, is also a lilely candidate for PTSD. This has the strong possibility to cause repressed memories, in other words when the doctors asked what happened, you may give a blurry inaccurate picture. This bas huge legal importance esp when giving evidence and entering proof for insurance. So the lawyer could be advised thaT patient is likely to be suffering PTSD. The physican may not be able to get basic information.

              So what to do with the cases where a person arrives with sudden spinal onset symptoms but cannot give an account for it. It is my proposition that a protocol or exploratory investigation be undertaken within some kind of framework. For example, to ask the patient about physical trauma in past months, like falls off a bicycle, trips and falls, weighlifting, sudden jolts, etc and evaluate these with family involved. But also to stir memory with initial questions then revisit several times. Seems luxurious but spinaL injury causation could take yeas to prove. Early stage detail probing is very valuable.

              Comment


              • SCI-Nurse
                SCI-Nurse commented
                Editing a comment
                This thread is nearly 5 years old.
                (KLD)
                Last edited by SCI-Nurse; 2 Sep 2021, 10:21 AM.

              #8
              Those are good points, Ronnoco. The following is slightly off-topic, but I thought of it when you mentioned your frustration with your medical records. I went to a doctor appointment with a new doctor who had never seen me. It was my goal to get him to recommend to my insurance provider to get me a standing wheelchair. As I began talking, he asked to see my stump (I lost a leg in my accident). I said, "Alright". As I raised my skirt, I mentioned, out of modesty, that I was wearing a diaper. He looked at my stump and then turned toward his computer and began typing madly. I continued with my "pitch" on why I needed a standing wheelchair. When I finished speaking, he was still typing,... apparently doing research. Then he turned around trimphant and offered me surgery, so that I wouldn't need to wear diapers. I declined his offer. As he was putting me out the door, I realized that he hadn't heard a word I'd said about the wheelchair. From the moment I"d mentioned that I was "covered" with a diaper, he apparently hadn't heard another word I'd said. My record probably says that I came seeking incontinence help. And he asked me about incontinence on my next visit, too. And no, he couldn't get me the standing wheelchair. What do you think provoked your spinal stroke?
              Female, T9 incomplete

              Comment


                #9
                Aspirin? I have often wondered if aTP should be tried when someone presents with signs of a spinal stroke. I think my C5-7 incomplete is probably genetic.
                Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

                Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

                Comment


                  #10
                  Not all spinal strokes are caused by blood clots, Sue. Some, as above, are caused by fibrocartilaginous embolism, AVM bleeds, or air embolism (such as in the bends). Others can be caused by loss of blood flow from the the artery of Adamkiewicz, also known as the great anterior radiculomedullary artery due to surgery or trauma of the aorta. None of those will be helped by aspirin or TPA; in fact bleeds will be made worse by use of the anti-coagulants.

                  (KLD)

                  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.

                  Comment

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