Respected Sir,
I Biswajit Bhattacharjee residing at Ichapur goalapara S.C.ghosh street ,Post-Nawabganj,Dist-24Pgs(North) (West Bengal), (Mobile no- 0000 ) have been suffering for a road traffic accident Right Pan Brachial Plexus Injury since 9 years (8/7/2005). Then I admitted at “Peerless Hospital ” at Kolkata (West Bengal) for 46 days and this time there doctor suggest to me take a “MRI OF BRACHIAL PLEXUS” of my right hand and this “MRI” report was below -
HISTORY -
Road traffic accident followed by injury to right side of neck & mono paresis of right upper limb .
PARAMETERS- FSE T1,T2, STIR & gradient echo T2 weighted images of the brachial plexus in coronal , sagittal & transverse planes with slice thickness of 3mm. & 4mm.
FINDINGS- Diffuse oedema is noted in the soft tissue along the course of trunk & cords of right brachial plexus from the supraclavicular to right axillary region . There is oedema in right anterior & middle scalne muscles, pectoralis muscles, trapezius supraspinatus, infraspinatus & subscapularis muscles with evidence of fracture in right scapula . Continuity of the trunks & cords of right brahical plexus is not appreciated & may be obscured by the adjoining soft tissue changes . There is also evidence of pseudo-meningocele in the right lateral recess & neural foramina at C5-C6 & C6-C7 levels of the cervical spine . Cervical cord shows normal signals . Left brachial plexus is normal.Right sided pleural thickening is noted .
IMPRESSION - The above findings are suggestive of effects of trauma in right brachial plexus with pseudo-meningocele at C5-C6 & C6-C7 levels consistent with avulsion of right C6 & C7 nerve roots . There is also evidence of diffuse oedema along the course of trunks & cords of right brachial plexus suggesting possibility ntusion or laceration of the nerves in these region . Evidence of fracture is noted in right scapula with diffuse oedema in adjoining soft tissue . Suggested clinical correlation and further investigations if clinically indicated . Then I also taken treatment under Prof. V. S. Mehta,(DELHI AIMS) he was operation at Paras Hospital on 23rd July, 2006 and suggest me physiotheraphy continously but till now no improvement.
PARAS HOSPITALS ( GURGAON HARYANA)
DEPARTMENT OF NEUROSURGERY
DISCHARGE SUMMARY AFTER OPERATION IN “PARAS HOSPITAL” is below- HISTORY OF PRESENT(23RD JULY,2006) ILLNESS :
About 1yr back, patient suffered a road traffic accident during which he sustained multiple injuries.
He sustained injury to the head with multiple fractures involving right clavicle, right femur. right distal ratio & Pattellar fracture.
Patient was under intensive care following unconsciousness and regained consciousness after 15 days.
After regaining consciousness, there was complete loss of movement & sensations of the right upper limb.
For the last 1yr, there is no change in the neurological state of the right upper limb. There is history of episodes of hyperaesthesia on the affected side.
GENERAL & SYSTEMIC EXAMINATION : Within normal limits.
NEUROLOGICAL EXAMINATION
Higher Function : Normal.
Cranial nerves : Normal.
Cerebellum : Normal.
RIGHT UPPER LIMB
Attitude : Adducted & Pronated.
MOTOR SYSTEM
Bulk : Ateophy of right upper limb.
Tone : Normal. Power : 0/5 in all muscle groups.
Reflexes : Absent
SENSORY SYSTEM : Absent sensations in C5-T1 segment.
Distal pulsations : Present
Left upper limb,Right & Left Lower limb :Normal.
Now, I went to Apolo Hospital in Kolkata (West Bengal) for see to Dr. Sughran Banerjee (artho) and he suggest me for treatment by stem cell therapy.I want to recover my this problem , I visit with you as early as possible . Sir kindly give me your suggestion as early as possible and I will be grateful you.
PLEASE PLEASE PLEASE .
Yours faithfully,
Biswajit Bhattacharya .
Mobile : 0000.