May 31 update
I see I have not been updating (sorry). Quite a lot to report (of course)
I'd say that the main news is extremely rapid recovery. There were 3 areas of trouble with brain functioning.
1) fixing short term memory -- patient remembered for 15 minutes then forgot. This is completely resolved. Patient's memory has surpassed normal and is most of the way back to patients pre-accident memory (which was not at all normal but rather very extraordinary)
2) language. Patient replaced words which didn't come to mind with random words (often beginning with the same sound). There is still a bit of this. Now comes off as the way people speak when tired or absent minded. Notably patient is communicating with text on an iPhone and the cervello trauma aspects are about on the order of iPhone autocorrect aspects (so typed text much stranger than spoken language).
3) emotion-judgment-behavior. As could be predicted from CAT and MRI bilateral bruising of the frontal lobe caused patient maturity to regress a couple of decades. Patient has been growing up emotionally at a rate roughly 100 times as fast as the first (normal) developement so 1 week like 2 years. Patient has reached teenager maturity -- more emotional than before accident but basically within normal adult range. It is hard to assess the brain in question, because the actual circumstances are frightening and irritating (to be a ospital patient one has to be very patient). Patient has demonstrated considerable prudence a whole lot of which was needed because of the neck issues.
Yes the next big topic is neck issues -- in particular fracture of the 5th cervical vertebra. There had been hope that it might heal normally on its own, but CAT MRI and ordinary x-ray showed it was unstable. The prudence mentioned above is always wearing the neck brace when not horizontal and not when horizontal. Also putting it one slowly and symmetrically. All managed very well (behavior up to very self disciplined from recent past totally reckless).
Yesterday May 30th surgery to stabilize the neck. The surgery lasted for hours. It all went well. Now some post operative pain and a period when even more care for the neck than before is needed for healing.
Before surgery great fear (which is basically normal). After some curiosity for why so many IVs are needed (there is a reserve heparin lock (ago cannula) in the left ankle based on doctors' recollection of earlier stage of removing IVs combined with total lack of experience with young patients who can touch their toes without any difficulty. It is still there, because patient has matured a decade in the past few weeks and not because the "ankle so it can't be pulled out by patien" strategy is sound.
On no news, the titanium plate is available, but doctors have to make sure that there are no bacteria in there which would be sealed in by plate. There were 4 days no antibiotic no fever. Now post surgical profilactic antibiotics so will have to wait to get back to waiting for signs of bacteria in period with no antibiotics.
Will update more often. Sorry for delay.
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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