Hello doctor, My relative's daughter, who is 16 years old, met with a car accident. She is admitted to the hospital. Please give your suggestions on her case. She is currently undergoing surgery. The below extract was of her case study. The doctors say that the body below her neck is not moving. Can she be shifted to another hospital? We want to get her to some specialist hospital, which is almost 1000 km far. What is her prognosis? Her case study it says the patient sustained cervical injury followed by instability to move all four limbs. On investigation, the patient was found to have fracture dislocation at C4-5 and right humerus. Bilateral pupils are equal and reacting. She has got grade 0 quadriplegia, and her breathing was paradoxical and mainly abdominal. Hence, the patient was intubated and connected to the ventilatory support. She has persistent hypotension, so Inotropes were started. The patient was planned for open reduction with fixation of fracture dislocation at C4-5. Given the patient's persistent low BP and feeble pulse, the surgical procedure was canceled. Now, the patient is on ventilatory support and Inotropes. Motor power grade is 0 in all four limbs. Solu-Medrol was started on arrival at the hospital. She is on the following medications, injection Oframax, injection Pan, injection Emeset, injection Dynapar AQ, and Solu-Medrol infusion. She is receiving chest and limbs physiotherapy.
Hi. I understand the case scenario. For more information consult a neuro surgeon online -->