SPINAL TRAUMA/ INJURY: Sase Presentation- Weakness of limbs following RTA - At Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh

8/3/2019 SPINAL TRAUMA/ INJURY: Sase Presentation- Weakness of limbs following RTA - At Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh.

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_cdngcss

kj

ehbfs

jkeekwhgo

VPD


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Qrcpdrc` Fy-@r. B` Gdzrue HsedbBFF\, B . sl. (F B C).


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MH\PKVX 9


10/38

Dppcdrdglc 9 Hee ekknhgo

Fk`y fuhet 9 Dvcrdoc. Qdthcgt hs lkglhkus, lk-kpcrdthvc dg`

wcee krhcgtdtc`. @clufhtus9 \htthgo & Eyhgo Dgdcbhd 9 Dfscgt Idug`hlc 9 Dfscgt Lydgkshs > Dfscgt K`cbd 9 Dfscgt. Quesc 9 =3 f/b.

Fekk` prcssurc 9 4


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Vcsphrdtkry rdtc 9 4: pcr bhg. Pcbp 9 Gkrbde. Nkhekgylmhd 9 Dfscgt. Ecunkgylmhd 9 Dfscgt Gcln oedg` 9 Gkt pdepdfec. Eybpm gk`c 9 Gkt pdepdfec. I.Z.Q 9 Gkt rdhsc` . Pmyrkh` oedg` 9 Gkt pdepdfec. \nhg phobcgtdthkg 9 Dfscgt.


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Hgspclthkg 9 Pmcrc hs gk swceehgo kr `cjkrbhty .

Qdepdthkg 9 Pcg`crgcss prcscgt kvcr lcrvhlde

sphgc.

Eklde tcbpcrdturc gkrbde.Pmcrc hs gk cgedroc` eybpm gk`c &

tmyrkh` oedg`.

Bkvcbcgt 9 (bkvcbcgt kj tmc Lcrvhlde \phgc )

Jecxhkg pdhgjue & rcstrhltc`

Cxtcgshkgpdhgjue & rcstrhltc`

Edt jecxhkg pdhgjue & rcstrhltc`

Vktdthkg pdhgjue & rcstrhltc`.

C]DBHGDPHKG KJ PMC GCLN9


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Odht 9 Qdthcgt ldggkt wden & stdg`.

Hgspclthkg 9 Pmcrc hs d swceehgo & `cjkrbhty hgtmc dgtcrkbc`de dspclt kj tmc ecjt eco.Buslec wdsthgo prcscgt hg tmc ekwcr ehbfs.

Jcce9 Ekldehzc` tcbpcrdturc sehomtey rdhsc` hg tmcbh``ec pdrt kj ecjt eco. Pmcrc hs tcg`crgcss bhec``ccp tcg`crgcss prcscgt hg tmc ecjt bh``ec pdrt kjtmc ecjt eco. Dee pmcrhpmcrde puescs drc gkrbde.Bcdsurcbcgt 9 Ecjt ekwcr ehbf hs smkrtcg fy H &

lb.

(Phfhe lkbpkgcgt)Bkvcbcgt 9 Dee ikhgt bkvcbcgt kj fktm uppcr

dg` ekwcr ehbfDlthvc bkvcbcgt wcdn.Qdsshvc bkvcbcgt Gkrbde

Qdthcgt ldggkt wden kg ecjt eco.

EKLKBKPKV \X\PCB 9


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EKKN\wceehgo dg` `cjkrbhty kvcr tmcbh``ec pdrt kj tmc ecjt eco.Pcg`crgcss prcscgt.

Dfgkrbde bkfhehty hg `cjkrbc` drcd.\nhg lkg`hthkg kvcr tmc `cjkrbc` drcdhs gkrbde.

Gk `hslmdrohgo shgus.Gk vdsluedr `cjhlhcgly.

JCCE

Pcg`crgcss prcscgt.Pcbpcrdturc sehomtey rdhsc`.Qcrhpmcrde puescs hgtdlt.


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Ecjt ngcc ikhgt bkvcbcgt ldg gkt fc cehlhtc` ùctk pdhgjue lkg`hthkg.Dgnec ikhgt- Qedgtcr jecxhkg --- wcdn hg dlthvc& gkrbde hg pdsshvc bkvcbcgt.

@krsh jecxhkg --- wcdn hg dlthvc

& gkrbde hg pdsshvc bkvcbcgt.Mhp Ikhgt-Cxtcgshkg dg` JecxhkgGkrbde hg pdsshvc wccn hg dlthvc bkvcbcgt.

D`ùlthkg --- gkrbde

D`ùlthkg --- gkrbde

BKZCBCGP

Cxdbhgdthkg kj tmc ecjt ekwcr ehbf9


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Mhomcr psylmhl juglthkg --- gkrbde

Dee lrdghde juglthkg --- gkrbdeBktkr juglthkgOcgcrdehzc` buslecs wdsthgo kj fktm

uppcrdg` ekwcr ehbfs.

Qdepdthkg

Fuen kj buslec

wdstc`tkgc kj tmc buslec Hglrcdsc`Qcrhdgde \cgsdthkg gkrbdeDgde tkgc prcscgt.Lrcbdstcrhl rcjecx prcscgt.

\ystcbhl Cxdbhgdthkg 9


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Vcodr`hgo buslec pkwcr

Sppcr ehbf \mkue`cr (ecjt &Vt) Jecxhkg 0

Cxtcgthkg 3Dfùlthkg - 3D`ùlthkg - 3

CEFK_ (ecjt &Vt) Jecxhkg -3Cxtcgthkg -0

_VH\P (ecjt & Vt.) Jecxhkg 0

Cxtcgthkg 0Mdg` (ecjt &Vt) Orhp -_cdn 0Jhgocr d`ùlthkg & Dfùlthkg- 0



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\cgskry juglthkg kj uppcr ehbfs@cbhghsmc`.Icrns kj uppcr ehbfs

Fhlcps Icrns - cxdoocrdtc`Prhlcp Icrns - Cxdoocrdtc`

Frdlmhkrd`hdehs Icrns - cxdocrdtc`Mkjjbdggs shog tcst - Qkshthvc.

Icrns kj Ekwcr Ehbfs

Ngcc Icrn - Cxdoocrdtc`Dgnec Icrn - Cxolcrdtc`Fdfusmnds \hog - Qkshthvc.

\cgskry dg` Bktkr9



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Buslec pkwcr(Vt & Et- Ekwcr ehbf)

Mhp Jecxhkg - 3Cxtcgthkg 3

Dfùlthkg 3D`ùlthkg 3

Ngcc (Vt) - Jecxhkg 3 (Buslec pkwcr kj tmc ecjtngcc ldg gkt fc cecltc` ùc tk `cjkrbhty.

& swceehgo kj ecjt eco)

Cxtcgthkg - 3Dgnec(Vt & Et) - Qedgtcr Jecxhkg 3@krshjecxhkg 3

Pkc cxtcgskr dg` tkc jecxkr(Vt. & Et.) - 0+

\cgskry jugthkgkj ekwcr ehbfs- `hbhghsmc`.



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Hgspclthkg Gk dfgkrbdehty `ctcltc`

Qdepdthkg gkt tgc`crDusluetdthkg Fkwce skug` prcscgtQ/VDgde tkgc prcscgt.

Hgspclthkg Gkrbde hg shzc dg` smdpc kj tmclmcdst.

Vcsp. rdtc 4:/bhgt.Qdepdthkg Pdlmcd Lcgtrdeey pedlc`

Gkrbde lmcdst cxpdgshfhehty.Qcrlusshkg VcskgdglcDusluetdthkg Frkglmhde frcdtm skug` whtmgk d``c` skuug`.

Dehbcgtdry \ystcb

Vcsphrdtkry \ystcb



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Quesc =0/bhgt.F.Q 461/?1 b. b kj MoI.Z.Q Gkt rdhsc`

Hgspclthkg G.D.@Qdepdthkg Dpcx fcdt dt tmc 3tmhgtcrlkstde spdlc.Qcrlusshkg \upcrjhlhde ldr`hdl `ueegcss prcscgtkvcr prclkr`hudbDusluetdgthkg-\4 dg` \6 du`hfec.

Pmc pdthcgt ugdfec tk pdss urhgc gkrbdeey dg`tmc pdthcgt hs hg Ldtm`cr.

Ldr`hk-Zdsluedr \ystcb

Ocghtk urhgdry systhb



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B`. Ndgu, Doc` 01yrs. Lkbhgo jrkb d`dfcr41, Bkmdbbd`pur, @mdnd, d`bhttc` kg 1=.1=.44 hg\.\.B.L.M

whtm tmc lkbpedhgs kj -

_cdngcss kj tmc fktm Sppcr dg` ekwcr ehbfdg` cgdfhehty tk bkvc.

@hjjhluety hgg pdsscs kj urhgc dg` stkke.

Jrdlturc kj tmc ecjt eco jkeekwhgo VPD 6 wccnsfdln.

Dt tmhs stdoc mc wds ugdfec tk stdg` dg` wden.Mhs uppcr ehbfs wcrc sk wcdn tmdt mc ldg gktorhp dgytmhgo.

Mc hs kg Ldtmctcr ds mc lkue` gkt pdss urhgc. MhsJdlhde hgiury dt tmc lmhg wds mcdec` up. Pmcrc hsd swceehgo dg` `cjkrbhty dt tmc bh``ec kj ekwcreco wmhlm hs hbbkfhehzc` whtm fdbfkk sthlnsfy nkfhrdi.

\dehcgt Jcdturcs9


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Mc md` d VPD 6 bkgtms fdln dg` whtmjrdlturc kj tmc ecjt eco fkgcs wmhlm wdsBdetrcdtc` fy Ndfhrdz.

Mc md` gk mhstkry kj ekss kj lkglhkugkss,wchomt ekss, dgkrcxhd & jcvcr.

Kg Ocgcrde cxdbhgdthkg tmc pdthcgt hs heeekknhgo gkg-`hdfdthl, gkg-hltcrhlgkrbktcgshvc, lkgslhkus, lk-kpcrdthvc dg`wcee krhcgtdtc`.Kg Eklde Cxdbhgdthkg-

Jdlc9 \ldr bdrn kvcr tmc ecjt sh`c kj rdlcgcdr lmhg.

Gcln bkvcbcgt Vcstrhltc` dg` pdhgjue.

\dehcgt Jcdturcs9


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Dlthvc bkvcbcgt kj tmc ikhgt kj tmc ehbfsdrc wcdn.

Pmcrc hs Ocgcrdehzc` buslec wdsthgo dg`wcdngcss kj tmc Ehbfs. \cgskry dg`Bktkr juglthkg kj tmc ehbfs@hbhsmc`.(B.V.L ord`c6).

Dee Icrns drc (Pmc Icrns kj tmc uppcr dg`ekwcr ehbf)

cxdoocrdtc`

Pkgc kj tmc buslec Hglrcdsc`

Qcrhdgde scgsdthkg Hgtdlt

Dgde tkgc Hgtdlt.

\dehcgt Jcdturcs9


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Qdthcgt hs kg ldtmctcr.Pmcrc hs dg `hjjusc swceehgo kvcr tmcbh``ec tmhr` kj tmc ecjt eco wmhlm hs

tcg`cr dg` dfgkrbde bkfhehty prcscgt.Qcrhpmcrde Zdsluedr stdtus Gkrbde.

Ktmcr systcbhl cxdbhgdthkg rcvcde gkdfgkrbdehty (Cxlcpt Gcrvkus, urhgdry

& eklk-bktkr systcb).

\dehcgt Jcdturcs9


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Hglkbpectc Lcrvhlde

\phgde hgiury (Dt L0/L3)(Lcgtrde lkr` \yg`rkbc)whtm jrdlturc Ecjt thfhd &

jhfued.

Qrkvhshkgde @hdogkshs-


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Dgtcrhkr lkr` syg`rkbcFrkwg \cqudr` \yg`rkbc.

@hjjcrcgthde

@hdogkshs -


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Fekk` L.F.L (


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]-rdy lmcdst G.D.@]-rdy Lcrvhlde \phgc Eksc kj ekr`kshsL0/L3 pkst. Ehstmcshs (Ord`c -4)@cocgcrdthvc lmdgoc hg dee Lcrvhlde\phgc

]-rdy ecjt eco

Lkbbhgutc` jrdlturc kj tmcbh``ec kj tmc smdjt kj tmc ecjt thfhddg` kfehquc jrdlturc kj tmc prkxhbdejhfued.

Hgvcsthodthkgs9


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BVH-

@cocgcrdthvc `hsl & sphgc `hscdsc.

Jklde bycehths dt L0 L3 ecvce.L6 L


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.

HglkbpectcLcrvhlde \phgc hgiury

dt L0 L3 ecvce,whtmTud`rhpdrcshs (Lcgtrde lkr`syg`rkbc) dg`Leksc` lkbbhgutc` jrdlturckj ecjt thfhd dg` jhfued.

Lkgjhrbdtkry `hdogkshs-


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Jkr \phgde( Lcrvhlde) hgiury -lkgscrvdthvc fy \cbh-rhoh` LcrvhldeLkeedr.Jkr rctcgthkg Ldtmctcrhzdthkg dg`

fed``cr cxcrlhsc.pmyshktmcrdpy(Dlthvc dg` pdsshvc

cxcrlhsc kj tmc ehbfs)

Jkr Jrdlturc thfhd jhfued

Leksc rc`ulthkg dg` pedstcrhbbkfhehzdthkg hg tmc jkrb kj ekgoeco juee pedstcr.


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HglcptdQmdrbdlcuthlde,@mdnd, Fdgoed`csm.


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Documents

SPINAL TRAUMA/ INJURY: Sase Presentation- Weakness of limbs following RTA - At Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh