MAY 15 update
Sorry for delay updating.
Patient seems to be recovering quickly.
1) motor skills pretty much completely recovered. Actually agile. Types with thumbs on phone (while your humble blogger types with his right index finger being old).
2) verbal activity has been odd. Patient speeks quickly confidently and without hisitation. However the words so confidently chosen are very odd. "name" means "noun which does not come to mind". "Ice" means water.
News for the 15th is that this odd pattern is very much reduced (roughly 4 fold since 14th) so communication works OK.
3) Emotional behavioral corresponds to frontal contusion reported on CAT scan and MRI - very emotional and impulsive with almost no detectable self control (like a young child). Demands that relative or boyfriend be present.
I think this too is moderating.
4) Lab news. This is the reason for delay posting. Some fluid escaped from wound Thursday 5/5/2922 (would be mix of CSF and serum). This is probaly related to lack of self control (later sister saw patient pull out one of the stiches).
It was cultured. As noted nothing grew up by Monday May 9
Tuesday MAY 10 colonies appeared. They are lactobacillus (as in yoghurt). Relatively benign. Also sensitive to all known antibiotics.
Treated with antibiotics before culture grew as precaution. No sign of infection.
Neurosurgeon will consult with infectivologists about whether it us time to insert the titanium plate.
Also neurosurgeon says he predicts excellent recovery given progress to date.
Here is the referto of the MRI. See the key point is that there is contusion but not detectable ischemia (suspected some small areas of ischemia somewhere). The effects should be temporary. Also Dr Veneziani says the bruised area has no known function -- when it is removed to remove a tumor, there are no known effects. So very good my effort to translate Exam rquested and executed in basal conditions with sequence t1,t2,presente, flair, GRE T2 amd with sequences weighed in diffusion according to axial, sagitale and coronal axes and with an axial sequence aiming in correspondende to the “tratto di rachide” C-4-C6 Extensive craniotomy temporal and fronto- parietal on the left. A collection of extracerebrale fluid collected near the surgical breach of maximum thickness of 18mm. Frontal and temporal bilaterally (walways more evident on the left, there is an extensive area of hyperintensity in the FLAIR and T2 sequences with some characteristics also of a hypointense component i
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