help with simple neuro case study!

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Miss Jones was a right handed batter who finally got a tryout with the Red Sox and was hit very hard on the right side of her neck by a fast ball. She woke up unable to move the left side of her body. Over a period of one week she got somewhat better. Upon examination you note that in her right shoulder the deltoid muscle has many fasciculation’s and it is now smaller than the deltoid on the left side. Her left arm and leg are of normal size but they are weak with increased reflexes and a positive Babinski reflex; her right arm and leg are normal. She has no response to pain over the entire left side of her body while touch is normal everywhere. All sensations are present on the face. Where is the lesion and what is is going on in this patient?

 

[ero87]

How was she hit on the right side of her neck if she's a right-handed batter?

 

[alphaholic06]

How was she hit on the right side of her neck if she's a right-handed batter?

Great question!

 

[mednsports]

Whoever wrote that question definitely wasn't an athlete.

 

[Shosha]

Here is my take:
The very un-athletic athlete has sustained a lateral corticospinal tract injury resulting in the paralysis, and anterolateral system injury resulting in the loss of pain sensation. The deltoid atrophy is because of injury to C5 and C6 spinal nerves, which give rise to the axillary nerve (the axillary nerve is lost at this point).

If you want a more detailed explanation, I can elaborate.

 

[Raryn]

Miss Jones was a right handed batter who finally got a tryout with the Red Sox and was hit very hard on the right side of her neck by a fast ball. She woke up unable to move the left side of her body. Over a period of one week she got somewhat better. Upon examination you note that in her right shoulder the deltoid muscle has many fasciculation’s and it is now smaller than the deltoid on the left side. Her left arm and leg are of normal size but they are weak with increased reflexes and a positive Babinski reflex; her right arm and leg are normal. She has no response to pain over the entire left side of her body while touch is normal everywhere. All sensations are present on the face. Where is the lesion and what is is going on in this patient?

SDN is not for homework help.

 

[Green Grass]

As if the LCS and ALST tracts weren't enough - the Axillary falls too. Rough injury for a women who is right-handed yet attempting to bat left-handed while trying out for the Red Sox. I wish her well.

 

[Caesar]

SDN is not for homework help.

this.