physios2be

Sunday, March 2, 2008

Power of Plasticity

Well here we are a few days out from PCR, doesnt seem that long ago the journey started. My blog this week is about a 60yo male who had a massive R sided infarct ~ 4 yrs ago. He had a complicated post stroke course and required two craniotomies to relieve the pressure caused by his increased ICP. CT scans 4/52 post stroke showed a massive black space where his R hemisphere previously resided in his skull !!! The initial prognosis was originally very poor for this man as you can imagine and he was given no chance of walking or going home. However, a touch of anosoagnosia combined with an enormous level of determination has resulted in amazing Fx gains in the last 4 yrs. He nows lives at hm again, is independant for all ADLs, mobility and amb and has just joined the running group at RPH-SPC gym where he is improving weekly. To me this tells of just how plastic the human brain is, and how we can never give up on pt regardless of their Dx as anything is possible with perserverance (and a little perceptual dysfunction).

Peace

The Manipulator

1 Comments:

Blogger claudie said...

Hi Jez, it's really wonderful to see this patient of yours running in the gym. Its like when our supervisor showed us his MRI, we were like its almost impossible for him to survive let alone run. Think his "Miracle Man" nickname is worthy enough. Guess our brain is truly a very adaptable organ and we should never underestimate its learning and functional capacity. Really fun looking at you two running and scrambling across the gym!

March 3, 2008 at 2:47 AM  

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