•29 Rt h
m had diving accident at age 20.C4
quadriplegic with some sensory sparing and some motor function at C4-5. MRI and XR spine: fx
C5 lamina and C6
body w.o. cord compression.RXhigh dose methyl-prednisolone and halo neck brace.
after 10 days to Rehab, still quadriplegic, move R toe.After 1 month of inpatient rehab, he was walking, wearing
halo, and had recovered substantial strength in hands R > L.
Neurology OPD at age 22, c/o mild L hand wkness and stiffness, poorstamina, spasms, throbbing and dysesthesias in legs, neck pain,
partial erectile and
ejaculatory dysfunction.Neuro Exam: nl CN, almost nl motor excpt 4.5/5 L finger abd, slRAM L fingers, slvibr toes bilat, slpin and temp R T2-T8, MRs 2-3 excpt 4 at L ankle, bilat
Hoffmann’s and L Babinski.Gait and
w/u and EMG showed onlypenile
tumescence in snap test.
•RXnortriptyline 75 mg/d improved pain and stiffness but worsened
Sildenafil improved sexual function.
medical school and now functioning well socially and professionally.