Date of birth: 8 Nov 1982
Date of accident: 8 Aug 2001
Car accident
Level of injury: C5/6 complete
Hospital report from the
Neurosurgical Department, Nicosia, General Hospital, 12 Dec 2003:
C5-C6 complete flaccid quadriplegia
- Motor and sensory systems : none below C5-C6 dermatoms.
- Voluntary movement in her shoulders and elbows, wrists: tenodesis.
- Bowels: can feel when her bowels are full; uses suppositories 3 times a day.
- Bladder: can feel when bladder is full at 500 cc through rapid heartbeat and goose bumps.
- Passive rotation of left hip reduced to 10° because of the osteoma which "freezes" the articulation.
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Testing sensibilité |
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| Septembre 2004 | mars 2005 | 29/09/05 | 14/09/06 | |
Beginning of treatment: 12 Feb 2002
1. Independence
- Toileting: no assistance needed since March 2003; puts make-up with no assistance since 27 June 2002.
- Meals: can hold a plastic glass in her right hand since April 2002; eats with no assistance since Dec. 2002.
- Can push her wheelchair on a flat road since Dec. 2002.
- June 2004: can hold a plastic glass half full with her left hand and drink it ; can cut mushrooms with her right hand ; can write and paint with her right hand.
- Oct. 2004: can paint a friend's nails.
- 8 Nov. 2004: can paint her nails.
- 12 nov. 2004: can drink with her right hand with a normal glass.
2. Stability
- Can stand one hour between parallel bars since 28 May 2002 in her KAFOs articulated at the knee and ankle levels, made in Bourges, France. When standing, can feel the pressure of her body on her hips since April 2003.
- 11 June 2004: has a better balance between the parallel bars.
3. Mobility
- Since 29 Oct. 2003: movement in her lower limbs: when sends an order, feels pins and needles in her hips down to her toes but with no visible movement.
- Moves better in bed since Oct. 2002.
- Has a better sitting position in her wheelchair since Oct. 2002.
- Settles better in her wheelchair since April 2003.
- June 2004: can write and paint with her right hand.
- 16 Nov. 2004: sitting position in her
wheelchair improves constantly + can move better on her wheelchair:
the size of her osteoma in right hip is less important, her hip can thus
move more freely; Elena is now sitting straight in her wheelchair and
has no longer back pain.
Elena can sit up in bed and transfer from bed to wheelchair and vice-versa with the assistance of one person only; can move the upper part of her body more and more in bed.
4.1. Volontary motricity
- Can move her wrists.
- Since 27 Nov. 2003, feels pins and needles when she sends an order to move her left thumb anf first finger + beginning of a movement visible.
- 12 Nov. 2004: thumb, index and 3rd finger moves better.
4.2. Walking
- May - June 2004: begins to walk with walker in her KAFOs and the help of two people.
- 8 Nov. 2004: Elena took a step with her left lower limb without any assistance.
- 23 Nov. 2004: takes steps everyday with her left lower limb, can only lift the heel of her right lower limb.
5. Sensory level
- Light touch:
Normal down to T4 (front) and T6 (back), arms and forearms.
Pressure down to T12 (back and front).
Tingling in her hand and pins and needles at the tip of her fingers.
Testing done at the clinic on 12 Nov. 2004: normal on hands and down to T2 (back and front); feels pressure down to T7 (front) and L1 (back). - Pain:
Normal down to umbilical belt (back and front) since 29 Oct. 2003. - Pressure:
Normal in all her body since Nov. 2003.
Testing done at the clinic on 12 Nov. 2004: normal down to L1 (front) and down to S1 (back). - Pinprick:
Can feel pinprick on the tip of her first three fingers in both hands and down to T12 (back) since 29 Oct. 2003.
11 June 2004: can feel pinprick on the palm of her hands and 2nd, 3rd and 4th fingers of her left hand (dermatoms C6-C7).
See testings of Sept. and Nov. below. - Hot and cold:
Cold water: down to T4 (front) since 27 June 2003 and down to T6 (back) since 9 Dec. 2003; cannot feel in her last two fingers, and back of her two arms (numbness).
Hot:
12 Nov. 2004: feels hot and warm from the sun and water down to T2 (front and back).
Cold:
12 Nov. 2004: feels cold temperatures below the injury; warms her up when comes close to a radiator. - Sweating:
July 2004: when outside temperature is high, Elena sweats down to T2 (front and back) inconstantly. - Can feel the water running on the upper part of her body down to T4 (front) and T6 (back).
- 11 June 2004: can feel the percussion:
- left hip bone, left kneecap, left shin, and left external malleolus.
- right kneecap, right anterior margin of the tibia.
12 Nov. 2004: left: idem; right: ankle. -
Blood circulation:
Jan. 2003: feels her feet warm and they are warm to touch indeed.
12 Nov. 2004: sometimes feels that her feet are very hot and they are warm to touch.
6. Bowels and bladder
- Bowels:
Can feel when her bowels are full through hot, rapid heartbeat and/or goose bumps since July 2003; uses enemas every other day; needs a 20-minutes massage before evacuating stools.
12 Nov. 2004: uses enema every other day or every three days but evacuates stools normally between 2 enemas.
Evacuates stools normally the day after enema more and more often, thus uses enema every 3 days and not every other day.
Needs only a 10-minutes massage of abdominal muscles before evacuating stools. Evacuated stools twice spontaneously without any massage last summer. - Bladder:
Can feel when her bladder is full normally (abdominal pressure) but also under warmness, rapid heart beat and goose bumps since 29 Oct. 2003.
Passes water by pushing on her abdomen since June 2003 (checks 3 times a day with catheter).
11 June 2004: can feel when her bladder is full and bladder can hold more water:
- 200 cc in April-May 2004.
- 300 cc in June 2004, 150cc to 200c remains after urination.
Nov. 2004: the feeling when her bladder is full is more and more normal.
12 Nov. 2004: can hold water for 2 minutes; uses a commode to pass water; only 50cc to 100cc remains after natural urination; can also pass water when lying in bed. - Intimate sensations:
12 Nov. 2004: has recovered the pain she had before her accident when she has her periods: pain and warmness in abdominal muscles and back.
Feels pins and needles in labia minora and majora when the pressure of water is high.
21 Aug. 2003: Vascular test of her lower limbs: recunalization of the right femoral vein.
The size of her osteoma has been reduced by working on her right hip passively (x-ray of osteoma).
Last update: 16 Oct. 2008