The patient by the name Mike Smith is a twenty-two-year-old man who suffered a swimming accident. The right side of Mark’s head, upper back, and neck are all lacerated (Field & Cappaert, 2006). Mike has a regular pulse rate and respiration but has hypotension. The patient, Mike, has a severe brain injury, which is evident from the concussion that he has suffered since Mike says that he is not sure of the accident’s activities since he may have lost consciousness (Field & Cappaert, 2006). Although the conducted sensory test indicated reduced sensation and discrimination of the sense of warmth and cold is an indicator of a spinal cord injury, the patient suffered a severe brain injury that may have led to the findings of the reduced senses (Field & Cappaert, 2006).
Reduced stimulus reaction, severe headache, dizziness, nausea, and the distorted memory all show the presence of a concussion and cranial damage suffered by the patient, Mike Smith. The previously mentioned nervous system signs and symptoms indicate the presence of a brain injury sustained by Mike Smith. Although magnetic resonance imaging showed no fracture of the skull and the patient cognitive abilities appeared healthy, it was not sufficient to rule out a brain injury. The right eye’s constriction may have affected the optical neurons in the internuclear ophthalmoplegia (Field & Cappaert, 2006). Sensory testing is not an adequate provision for differentiating between a brain injury and spinal cord injury, and as such more tests, especially on the patient’s symptoms, should be conducted to rule out either the brain injury or spinal cord injury.
The case study is an elaborate example of severe instances that make it hard to differentiate between a spinal cord injury and a brain injury. The discussed case study clearly shows overlapping similarities between a spinal cord injury and a brain injury. Still, the presence of concussions and eye constrictions indicate a brain injury, and it is, therefore, important to keenly study the patient’s signs and symptoms before providing a diagnosis. Definite diagnosis between spinal cord injury and brain injury must be well elaborated to enhance the central nervous system studies.
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