Humpty Dumpty

Humpty Dumpty

Humpty Dumpty Humpty Dumpty

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Question 1 of 3

1. Question
Based on the case presentation which is the most probable diagnosis?
- Brown-Sequard syndrome
- Cruciate paralysis
- Central cord syndrome
- Brachial plexus injury
- Anterior cord syndrome
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Question 2 of 3

2. Question
Which of the findings observed on the imaging studies are relevant for supporting your diagnosis?
- Fusion of the C4 to C7 vertebral bodies associated with degenerative changes seen at C3-4 and C7-T1
- The presence of ankylosis and spondylodiscitis
- The lack of spinal cord compression
- The absence of fractures
- High signal cord changes at C3-C4 compatible with cord contusion and representing oedema/axonal injury on the MRI scan
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Question 3 of 3

3. Question
Identify the two most appropriate ED management option/options for this case that can have a significant influence on the outcome?
- Neurosurgical intervention
- High dose steroid infusion
- Intubation to protect the airway
- Intensive physiotherapy
- Supportive treatment to prevent further complications
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1 Comment

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Sophie August 23, 2021 at 10:03 pm

Very useful case presentation. It is a diagnosis that has to be actively excluded.through thorough clinical examination and imaging where necessary

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