may the 4th be with you update. Patient moved from intensive care to less intensive care (neurosurgery but no surgery is imminent).

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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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Very late update (sorry). Patient had successful surgerty to stabilize the neck. There had been hope that the broken C5 vertebra would just heal, but now it is fixed also using a bit of bone from the right hip. recovery from surgery fine (limp over). Brain issues seem almost resolved. Verbal problem of confidently using the wrong word (eg "ice" for "water") almost over, especially when rested. Behavioral problem of renewed immaturity definitely over. Patient has become a patient and prudent adult again (this time growing up took weeks not decades -- it was surreal). The titanium plate has still not been inserted (last delay because of a fever due to a urinary tract infection cured with 3 days of IV antibiotic). Patient Verrry bored with hospital. ALso afraid of the operation (as is normal). Decision on whether to insert it next week is imminent (there will be a third MRI and if it looks like the second or better, the plate goes in).
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the Titanium plate has been inserted. Patient awake and said high. Head normally shaped (under bandages). They are doing a CT scan (TAC).
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