53M OPLL Bipedal Edema Telangana PaJR

 

30-05-2025

THIS ISAN 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.

[30-05-2025 13.24] PPM 1: Another 53M patient today with fascinating OPLL which presented since one year back when he developed gradual onset of paralysis and stiffness and was bed ridden for a month before our neurosurgery team did a laminectomy for him following which he is walking but currently presented with bi pedal edema.

56M With Current Shock Chronic Myelopathy Telangana PaJR

 

24-05-2025

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.

[24-05-2025 11.58] PPM 1: OPD now:

56M with a history 20 years back of electric current injury when a live wire fell on his left shoulder and he fell and started hanging upside down on that wire for some time before he was rescued.

On examination:

Tell tale skin changes of the current injury

Assymetric muscle power with 4- left upper and lower limb and 4+ in right upper and lower limb along with wasting in left lower limb and hyper reflexia in all four limbs with bilateral planter extensors. Jaw jerks absent.

Impression: Chronic high cervical cord myelopathy due to past lightning injury

Complains of increased left lower limb pain necessitating tying of his limbs at night particularly since 4 years when he switched his job from electrician to farmer.