Guest guest Posted June 21, 2012 Report Share Posted June 21, 2012 All: Have a 45 year old female patient who came in about a year ago for treatment of injuries sustained in a trip-and-fall incident in a parking lot of an apartment complex (part of the sidewalk was uneven where it met the parking lot). . Hit her head on the cement. Post-concussive symptoms. CT scan negative except for " mild small vessel ischemic white matter disease, which is out of proportion to the patient's age " and " small scattered punctate calcifications in both parotids. " Patient was treated and released a few months ago with residual post-concussive symptoms but 80% better. Came in on Monday, escorted by her sister, and was exhibiting writhing movements like Huntington's Chorea. Said it just came on suddenly on Friday and spent the weekend in the hospital with little to no help, other than heavy meds and a recommendation to contact the neurology department at OHSU. She has no family history of movement disorders and wants to know if her fall could have caused her current symptoms. If what she has is Huntington's Chorea, her future looks pretty bleak, considering the prognosis for that disease: " A rare, abnormal hereditary condition characterized by chronic, progressive chorea and mental deterioration that terminates in dementia. The individual afflicted usually shows the first signs in the fourth decade of life and dies usually within 15 years. There is no known effective treatment but symptoms can be relieved with medications. " Any thoughts on causation or treatment options? Shocking to see someone who was pretty normal a few days ago and now can't sit still. Oddly, she stopped writhing while I was adjusting her but it quickly resumed afterwards. Lyndon McGill, D.C. EvolvHealth Wellness Advisory Council Member Salem, Oregon www.SalemSpineClinic.com www.EvolvingDaily.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2012 Report Share Posted June 21, 2012 Have Glenn Zielinski take a look at her. Functional Neurology is light years away from the usual neurology runaround.Dr. Glen Zielinski, DC, DACNB 4035 SW Mercantile Drive, Suite 112 Lake Oswego, Oregon 97035 Monday - Friday 9:00am-5:00pm Ann DCTo: oregondcs Sent: Wednesday, June 20, 2012 11:16:03 PMSubject: Huntington's Chorea All: Have a 45 year old female patient who came in about a year ago for treatment of injuries sustained in a trip-and-fall incident in a parking lot of an apartment complex (part of the sidewalk was uneven where it met the parking lot). . Hit her head on the cement. Post-concussive symptoms. CT scan negative except for "mild small vessel ischemic white matter disease, which is out of proportion to the patient's age" and "small scattered punctate calcifications in both parotids." Patient was treated and released a few months ago with residual post-concussive symptoms but 80% better. Came in on Monday, escorted by her sister, and was exhibiting writhing movements like Huntington's Chorea. Said it just came on suddenly on Friday and spent the weekend in the hospital with little to no help, other than heavy meds and a recommendation to contact the neurology department at OHSU. She has no family history of movement disorders and wants to know if her fall could have caused her current symptoms. If what she has is Huntington's Chorea, her future looks pretty bleak, considering the prognosis for that disease: "A rare, abnormal hereditary condition characterized by chronic, progressive chorea and mental deterioration that terminates in dementia. The individual afflicted usually shows the first signs in the fourth decade of life and dies usually within 15 years. There is no known effective treatment but symptoms can be relieved with medications." Any thoughts on causation or treatment options? Shocking to see someone who was pretty normal a few days ago and now can't sit still. Oddly, she stopped writhing while I was adjusting her but it quickly resumed afterwards. Lyndon McGill, D.C. EvolvHealth Wellness Advisory Council Member Salem, Oregon www.SalemSpineClinic.com www.EvolvingDaily.com Quote Link to comment Share on other sites More sharing options...
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