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Suggest Treatment For Poor Motor Functions In Right Leg With History Of Brown Sequards Syndrome
Question: Hello, I suffer from Brown-Sequards syndrome since 2012 when I was operated for disc herniation of TH6-7 after traumatic attack. However, there was much time between the attack and the operation, so in the meanwhile the disc also caused complications with breathing.
During the operation the stabilization of Th6-7 was made, but in 4 moths I got problems with one screw and had to be operated again. The second operation was the spinal stabilization again - Th5-8 this time.
At the beginning there was loss of sensation on the right leg and loss of motoric functions on the left one.
At present the motoric functions of my right leg are getting worse and worse while there are also problems with breathing and bigger backpain.
I know that no other operation is possible and all what happened is irreversible. However, I would like to know if there is a way how to at least keep the stage as it is and if there are any doctors in the world who are able to cope with this.
Thank you for your answer
XXXXXX
During the operation the stabilization of Th6-7 was made, but in 4 moths I got problems with one screw and had to be operated again. The second operation was the spinal stabilization again - Th5-8 this time.
At the beginning there was loss of sensation on the right leg and loss of motoric functions on the left one.
At present the motoric functions of my right leg are getting worse and worse while there are also problems with breathing and bigger backpain.
I know that no other operation is possible and all what happened is irreversible. However, I would like to know if there is a way how to at least keep the stage as it is and if there are any doctors in the world who are able to cope with this.
Thank you for your answer
XXXXXX
Brief Answer:
Avoid physical stress and try physiotherapy
Detailed Answer:
Dear XXXXXX
Thank you for trusting us (HCM)
I read your query and understand your concern
I am sorry for the accident you had
Unfortunately Brown Sequard syndrome is difficult to be treated but fortunately in your case it seems that you have been treated right
As you may know such damages cause loss of proprioception at the same side of damage and loss of pain and temperature in the other side
Meaning that if you are suffering motor paralyzis it is time that you schedule an imageric evaluation (MR)
In my opinion if you avoid physical stress and wear lumbar fortress you will stay in this condition for a long time
Physiotherapy may help you in becoming more active and avoiding paralysis
If you aren't suffering pain or spasticity I don't think you need oral therapy
Hope I have been of help
Please feel free to ask other questions or doubts
Wish you all the best
Stay healthy
Regards
Dr Eris Ranxha
Neurologist
Avoid physical stress and try physiotherapy
Detailed Answer:
Dear XXXXXX
Thank you for trusting us (HCM)
I read your query and understand your concern
I am sorry for the accident you had
Unfortunately Brown Sequard syndrome is difficult to be treated but fortunately in your case it seems that you have been treated right
As you may know such damages cause loss of proprioception at the same side of damage and loss of pain and temperature in the other side
Meaning that if you are suffering motor paralyzis it is time that you schedule an imageric evaluation (MR)
In my opinion if you avoid physical stress and wear lumbar fortress you will stay in this condition for a long time
Physiotherapy may help you in becoming more active and avoiding paralysis
If you aren't suffering pain or spasticity I don't think you need oral therapy
Hope I have been of help
Please feel free to ask other questions or doubts
Wish you all the best
Stay healthy
Regards
Dr Eris Ranxha
Neurologist
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Dear Sir,
thank you very much for your answer. As I wrote, my case is quite complicated.
During the check up after the second operation my surgeon said he can clearly see there is a problem again between TH6-7 and he was ready to operate on me. However, later I did not talk to him much and the other doctors say it is difficult to see something clearly because of the screws in my spine. When you have a look on the MRI which can be downloaded from the links I sent to you - what is your opinion? Is there or is there not a problem again?
I have been working with a physiotherapist since the first operation. My physiotherapist can clearly see that during the last year I went "down" with my right leg - the muscle strenght went from 5 to 3. Often the leg is shaking, I can feel tingling or quite strong pain. I also suffer more from spasm than before.
This is what I want to know - if this can be stopped.
Beside above mentioned, another problem is breathing which was decreased with those operations from 100% to 50% and sometimes there are also chest spasm which come without a sign, or sometimes I faint and my breathing is completely stopped for a few seconds. I was told by doctors this is possible to happen when thoracic part of spine is injured, but nobody can tell me how to cope with it.
Can you advise me with some more information?
Kind regards
XXXXXXX
thank you very much for your answer. As I wrote, my case is quite complicated.
During the check up after the second operation my surgeon said he can clearly see there is a problem again between TH6-7 and he was ready to operate on me. However, later I did not talk to him much and the other doctors say it is difficult to see something clearly because of the screws in my spine. When you have a look on the MRI which can be downloaded from the links I sent to you - what is your opinion? Is there or is there not a problem again?
I have been working with a physiotherapist since the first operation. My physiotherapist can clearly see that during the last year I went "down" with my right leg - the muscle strenght went from 5 to 3. Often the leg is shaking, I can feel tingling or quite strong pain. I also suffer more from spasm than before.
This is what I want to know - if this can be stopped.
Beside above mentioned, another problem is breathing which was decreased with those operations from 100% to 50% and sometimes there are also chest spasm which come without a sign, or sometimes I faint and my breathing is completely stopped for a few seconds. I was told by doctors this is possible to happen when thoracic part of spine is injured, but nobody can tell me how to cope with it.
Can you advise me with some more information?
Kind regards
XXXXXXX
Brief Answer:
Unfortunately slowly progressing disease
Detailed Answer:
Dear XXXXXXX
treatment is used to slow down progress but still it remain a progressive disease
Your MR doesn't shows any need for surgery, there are signs of malacia which should be from trauma or surgery
In my opinion a new MR should be undertaken
You can try antyspastic (like baclofen) and corticosteroids to avoid those leg shaking and it will help with breathing to
Those can be used after confirming my doubts with a new MR
Hope I have answered all your questions and clarified your doubts
If so please close query of don't hesitate to ask for further information
Regards
Dr Eris
Unfortunately slowly progressing disease
Detailed Answer:
Dear XXXXXXX
treatment is used to slow down progress but still it remain a progressive disease
Your MR doesn't shows any need for surgery, there are signs of malacia which should be from trauma or surgery
In my opinion a new MR should be undertaken
You can try antyspastic (like baclofen) and corticosteroids to avoid those leg shaking and it will help with breathing to
Those can be used after confirming my doubts with a new MR
Hope I have answered all your questions and clarified your doubts
If so please close query of don't hesitate to ask for further information
Regards
Dr Eris
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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