MVA=head injury :need teatments/tests 
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 MVA=head injury :need teatments/tests

My wife and I were involved in a MVA in Sept 97 in which we were hit from
behind by a 3/4 ton truck while waiting to make a left hand turn.

My wife has been diagnosed with brain stem damage, damage to CN5 which has
resulted in reduced feeling in her right side of her face.  She also has
upper right visual field blurriness in both eyes(eyes are OK though), depth
perception problems, dizziness and nausea, and no idea where her right
arm/hand is in 3 dimensional space.  She has been unable to work since the
accident, or do much else for that matter.

She has had an MRI which was 'normal'.

It was suggested to us to ask the neurologist for a SPECT scan or
Neuropsycological testing.  He feels the SPECT would be a waist of time and
is unsure about whether the Neuropsycological testing would be of any use.

does anyone know of any other tests or treatments that may help my wife get
back on her feet so to speak?

Thanks




Tue, 29 Aug 2000 03:00:00 GMT
 MVA=head injury :need teatments/tests

Quote:


>Subject: MVA=head injury :need  teatments/tests
>Date: Fri, 13 Mar 1998 23:49:29 -0500
>My wife and I were involved in a MVA in Sept 97 in which we were hit from
>behind by a 3/4 ton truck while waiting to make a left hand turn.
>My wife has been diagnosed with brain stem damage, damage to CN5 which has
>resulted in reduced feeling in her right side of her face.  She also has
>upper right visual field blurriness in both eyes(eyes are OK though), depth
>perception problems, dizziness and nausea, and no idea where her right
>arm/hand is in 3 dimensional space.  She has been unable to work since the
>accident, or do much else for that matter.
>She has had an MRI which was 'normal'.
>It was suggested to us to ask the neurologist for a SPECT scan or
>Neuropsycological testing.  He feels the SPECT would be a waist of time and
>is unsure about whether the Neuropsycological testing would be of any use.
>does anyone know of any other tests or treatments that may help my wife get
>back on her feet so to speak?
>Thanks


SPECT (or PET) can show areas of brain damage that do not show up on MRI.  
These tests are useful in detecting areas of brain damage and assessing the
degree to which the {*filter*} supply or metabolism is reduced by the injury.  MRI
shows anatomy in great detail, while the nuclear medicine tests show some
aspect of function.  An area of brain that still has a {*filter*} supply has at
least the _potential_ for some recovery, though that can't be guaranteed at
all.  Those areas with no {*filter*} supply will probably not be expected to
recover, and in that case physical therapy and retraining for activities of
daily living can be directed to the specific individual situation.  In any
case, recovery is a lengthy process.  Good luck -

Dennis D. Patton MD
Division of Nuclear Medicine
University Medical Center
Tucson, AZ 85724



Tue, 29 Aug 2000 03:00:00 GMT
 MVA=head injury :need teatments/tests

: My wife and I were involved in a MVA in Sept 97 in which we were hit from
: behind by a 3/4 ton truck while waiting to make a left hand turn.

    <details clipped>

: does anyone know of any other tests or treatments that may help my wife get
: back on her feet so to speak?

: Thanks


I would like to suggest you ask whichever physician is treating your wife
if he/she could offer a referral to a specialist in Physical Medicine and
Rehabilitation, AKA physiatrist.  (No, that's not psychiatrist <G>)
Physiatrists are specialists in evaluating patients with disabilities,
determining in what way they are impaired, and reccomending ways in which
they can be made the most functional.  It was standard procedure in the
trauma unit where I did a clerkship to refer all patients to physiatrists
when they were stable from a surgical standpoint so they could begin
therapy to get them back to their real lives as quickly as possible.

     The best description I've heard of their goals is to "turn patients
back into people."  They use many mathods for evaluating patients,
including physical exam (they rival neurologists for the quality of neuro
exams), interviews, and neuropsych testing.  Their treatment modalities
include physical therapy, occupational therapy, counseling, and education.

     I wish you the best of luck, and hope you and your wife find someone
who can help you get back to the life you hope for.

                                           Judith Kelley

--



Wed, 30 Aug 2000 03:00:00 GMT
 MVA=head injury :need teatments/tests

: >My wife has been diagnosed with brain stem damage, damage to CN5 which has

        Cranial Nerve 5 is the trigeminal nerve: the one the dentist
        freezes when you get a filling.

: >resulted in reduced feeling in her right side of her face.  She also has
: >upper right visual field blurriness in both eyes(eyes are OK though),

        Suggests occipital lobe damage.

: >perception problems, dizziness and nausea,

        The nausea comes from damage to the CTZ (chemoreceptor
        trigger zone) which is located in the brainstem.

 and no idea where her right
: >arm/hand is in 3 dimensional space.

        This is called "Proprioception". (It's good for you to have the
        "right words".)

: >It was suggested to us to ask the neurologist for a SPECT scan or
: >Neuropsycological testing.  He feels the SPECT would be a waist of time and
: >is unsure about whether the Neuropsycological testing would be of any use.

        Neuropsychologists can sometimes identify findings which
neurologists can't. I can think of a particular case where a neurologist
here overlooked a case of Balint's syndrome where a neuropsychologist
identified it dead on.

        I think you need all the neuro-type consults you can get. Several
opinions are better sometimes than one. Go for the neuropsychologist.

        Perhaps there are some alternative treatments that can help your
wife?

emma
:)

PS i wonder when we're gonna start making people wear helmets for driving?



Wed, 30 Aug 2000 03:00:00 GMT
 
 [ 4 post ] 

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