Chapter 14, Problem 6CCS

Summary Introduction

Case summary:

Jimmy chin is immobilized on a rigid stretcher so that he cannot move his head or trunk. He was alert and in his senses after his accident but unable to get up due to a ‘wicked headache’. After few days of surgery on one day Jimmy suffered from a massive headache and the blood pressure exceeds much far than the normal.

Characters in the case:

Jimmy chin (10-year-old boy).

Adequate information:

Some kind of bruises on got his back and scalp was observed. The body got insensitive to the painful stimuli below the nipples. After 2 days of surgery, the brain injury was healed but still showed the swelling and damage at the T₄. Physical examination shows that below the level of injury reflex activity was not shown by the Jimmy and his blood pressure was also low. After few days of the surgery the exaggerated reflexes was observed in the lower limbs. He also got incontinent.

To determine:

The reason for hyper-reflexiveness and incontinency of the patient.