19-03-2025
THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.
[19-03-2025 16.16] PPM 1: Afternoon session:
38M with neck pains since mid 2023 and progressed to headache since last 6 months and weakness of
pincer grip since 3 months and was on acupuncture therapy with 25% subjective improvement!
Cervical MRI since 2023 showed features suggestive of compressive myelopathy since then that
remained same on repeated MRI.
Since two days developed sudden involuntary movement of all four limbs and left hemiparesis along
with vomiting and retching.
On examination,
Left eye ptosis with left eye abducted at resting position with miosis (Horners syn)
Lower cranial nerves 9,10 11 affected with reduced palatal movement and inability to cough just
producing a bovine sound at all cough attempts (video attached) 👇
Left motor hemi paresis
