The psychiatric/hysteria/conversion disorder diagnosis was the first thing
to come to my mind also. Dr. Sood - does she have any history of sexual or
physical abuse? Is there any secondary gain - be it conscious or
unconscious?
Karen Pugh
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]]On
Behalf Of Scott Epsley
Sent: February 28, 2000 7:40 AM
To: [log in to unmask]
Subject: Re: DESPERATE TO HELP!
Hi Owen,
G'day mate it's Scott again. Could you please explain why vit B12
(I'm sure I could look it up and find out but I'm a little strapped
for time with the new bub).
Also, does the list think it possible that there is a psychiatric
disorder taking place here, much like pyschiatric blindness
(supratentorial)?
Just a question. Other wise what about a slower Guillian Barre type
virus induced problem? Probably not likely I suppose.
Scott.
--
On Sun, 27 Feb 2000 18:05:52 Owen Moore wrote:
>Dear All (espec. those with an interest in neuorlogy)
>This seems a little like a B12 deficiency?
>Or even a drastuc case of Charcot-Marie tooth/peroneal atrophy?
>Any other ideas?
>Mr Owen DR Moore
>PT, UK
> -----Original Message-----
> From: Sood <[log in to unmask]>
> To: indiaorth <[log in to unmask]>; [log in to unmask]
<[log in to unmask]>; [log in to unmask] <[log in to unmask]>;
[log in to unmask] <[log in to unmask]>; manual-therapy
<[log in to unmask]>; [log in to unmask]
<[log in to unmask]>
> Date: 26 February 2000 18:19
> Subject: DESPERATE TO HELP!
>
>
> Dear friends,
> Your most valuable opinion is sought
regarding any thing we can do
> to elevate the misery of this young lady;
> Last Sunday morning I saw a man walk into my consultation chamber
with
> carrying a person on his shoulder who showed no sign of life .Who as I
later found was be his
> wife .They were living most cruel nightmare of there life.
> History; She a 29 yr old women mother of three
beautiful loving kids had been most happy and healthy life till the 1996
when she became pregnant for second time( ,she had twins from first one )
> In the second month of pregnancy she felt weakness of right hand which
soon extended upward
> she began to drop things and in few months her right arm hung paralyzed
then after two months of delivering a healthy child she felt weakness in her
left hand which soon spread to involve whole of
> left arm and soon she falling down while walking .
> Past history ;No history of trauma,fever or any other disease.No family
History.
> Examination Now she has quadriplegia with NO movement in any limb
,face is not involved ,No sensory loss ,No bladder and bowl involvement was
observed at any stage .memory intelligence normal.
> respiration is conducted mostly with abdominal muscles.
> Investigation:
> CT scan of brain ;Normal
> X-ray ; cervical lumbar ,thoracic spine; Normal
> Nerve conduction Velocities were carried out in both upper and lower
limbs.
> EMG were carried out in left APB & ADM muscles ,occasional
fibrillation.fasciculation's were not seen.
> Finding are suggestive of COMPLETE MOTOR NEUROPATHY OF ALL LIMBS ?LGBS.
> Sensory NCV of limbs are WNL.
> Can anyone help with the pathogenesis and treatment of this case.
>
> Dr.Sarveshwar Sood
> Orthopaedic Surgeon & Head Department of Physical
> Medicine & Rehabilitation,
> Member American Academy Of Pain Management.
> S.B.L.S.Hospital
> 812/1,Housing Board Colony
> Model Town,Jalandhar city
> Punjab State.India
> E-mail [log in to unmask]
> http://Personal.vsnl.com/sarvesh
>
>
>
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