Lesión Medular Postraumática

Abstract

Spinal cord injury is a sudden and debilitating disease with serious repercussions for the patient, family and society. It presents an incidence is increasing, which means to establish and follow protocols in order to improve the prognosis of these patients. This study was conducted in order to establish the clinical picture, course and treatment of a case with spinal cord injury admitted to the Teaching Ambato Regional hospital in 2015 and identify gaps in treatment according to the protocols in these cases. We found that these were not fulfilled and it is very important rehabilitation and psychological support for patients and families. It is suggested to strengthen these aspects for better results in survival and quality of life of these patients. This case corresponds to a male patient 29 years without pathological, personal and family important background, the reason for consultation by entering it suffered a sport, after 8 days of hospitalization due to accident that it was in the middle of a football match, site where a sudden movement exaggerated by neck flexion occurs; the patient starts with loss of sensation in their lower limbs, being transferred to private health-care center without any management or precaution that merits the case. He was treated in that nursing home where on arrival present neurological impairment (Ocular 3 Verbal 1 Motor 1) 5/15 scale GLASGOW, is admitted to intensive care unit for hemodynamic support, mechanical ventilatory support and conduct studies diagnostics. They fail to obtain autonomy for persisting respiratory apnea, given the conditions radiological studies column starts, but family transfer request which is authorized diagnosed with neurocysticercosis + Spinal Cord Injury (a rule) + polyneuropathy (a rule). Once transferred arrives at Ambato Teaching Hospital where the study of this case starts, Emergency patient presents Blood Pressure: 110/60 mmHg, heart rate: 62 beats per minute, respiratory rate 18 breaths per minute, on the scale of GLASGOW 11/15 (Ocular 4 Verbal 1 Motor 6), rhythmic heart, preserved breath sounds. Neurological examination Elemental: sensitivity preserved, quadriplegia, which suggests a diagnosis of: polyneuritis Guillain Barre type (a rule).