Brainmapping: Graphic from 2008 research paper Mapping the Structural Core of Human Cerebral Cortex
Patient status: Update 11/22/11: Patient is now home in a controlled environment utilizing neuro-trauma isolation protocols involving low noise, low light and with physician and nurse visitation. Melodic intonation therapy is being used for memory/speech stimulation and relaxation. Patient remains on Valproic Acid wherein this legacy anti-seizure/anti-epileptic medication is being used for its recently understood (2010 University of Texas study by Dr. P.K Dash; et al) neuro-protective/new neuronal growth inducing characteristics. This treatment is in conjunction with high dose Vitamin E advocated in a recent (2010) study at Shiraz (Iran) University of Medical Sciences lead by Nuerosurgery resident Dr. Ali Razmkon. http://www.acep.org/Content.aspx?id=75039
While verbal communication is not possible at at this time, patient does engage in blink conversation and will move head, fingers and toes on command; suggesting an approximate cognition level of 11.5 on the Glasgow Scale. Lastly, although outpatient status at Mayo Clinic Jacksonville was kindly directed by neurologists at this facility as of late October, pursuit of case study remains as operative approach. --
CT Abstract (Admission): “There is an intraparenchymal hematoma involving the right thalamic region exending into the superior right deep white matter. The hematoma measures approximately 3.5cm x 3.8 cm x 4.0 cm. There is a prominent rim of edema involving the deep white matter of the cerebrum.
“Intraventricular extension is noted with a prominent amount of blood with the right and left lateral ventricles, the third ventricle, the fourth ventricle. There is extension of blood into the peripontine cisterns bilaterally.
“There are probable obstructive hydrocephalic changes when compared to 3/19/11 (Acute ischemic infarct). There is approximate 6 to 8 mm of right to left subfalcine shift. No fractures are evident.”
Complete and current patient summary available from primary care physician on request.
IMPACT Database of Traumatic Brain Injury: Design and Description