Management of Spinal Cord Injuries - Case Study Part 2

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Top Contributors - Naomi O'Reilly, Tarina van der Stockt and Tony Lowe  

Presenting Condition

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

Day 1 - 2 Hours Post Injury

ASIA Assessment - C4 ASIA A

  • No Motor or Sensory Function below Lesion

Day 2 - 28 Hours Post Injury

ASIA Assessment - C4 ASIA A

  • Spinal Fixation at C4 - C8 with Spinal Decompression

Day 3 - 72 Hours Post Injury

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

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

  • Scheduled for Transfer to Spinal Unit for Ongoing Management

Week 5

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

Functional Assessment

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