1. marcomonteverdi No Ranking
  2. Archive Ask the Doctor
  3. Monday, 13 July 2015
Hi,my name is Marco and I have a C4-C5 SCI.On the 20th of April I received an operation in St. Gallen to remove some of the scar tissue of injury to reduce the spasmi, the doctors told me i would feel a change in perception within the first months, but this is much more than I thought!I have strong spasmi, and feel my body much more sensitive.What do you recommend Ido?Thank you in advanceMarco
Dr._Hans_old
Dr. Online
Accepted Answer Pending Moderation

Dear Marco,

I would like to try to understand more about the operation that has been performed by the neurosurgeons of St. Gallen.

I guess that simply removing scar tissue was not the only target of this operation. Have there been other problems or pathologies on your back that forced the surgeons to operate on the spinal cord? (compressions, adhesions, disturbed flow of the cerebrospinal fluid, arachnoiditis or even syringomyelia?)

To prepare for an operation like this there must have been CT-scans or MRI pictures taken which would show the pathology. What are the findings?? 

The same diagnostics should be done after the operation once again to see it’s effect. Usually there will be a check up by the surgeon between three and six months after surgery.

The effect of the operation should be discussed with the surgeons, rehabilitation specialists and neurologists on that occasion. Often the effect will be seen only after reasonable time after surgery (6 months). Never expect to have it immediately.

To get rid of the spasms within short time you will have to take some antispastic drugs. Usually you begin with Gabapentin and increase the dose until the effect is there or you reach the maximum dose. I think you are experienced??

If there is no effect, there are different drugs as well as combinations of selected drugs.

There is also an article on spasticity in our library. Please read this also.

Maybe you can provide additional information so that I will be able to give directed advice for your problem.

Kind regards

Dr._Hans, 14.7.2015

  1. more than a month ago
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marcomonteverdi No Ranking
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Thank you for the quick reply.The operation has been performed because I had adhesions and disturbed flow.
My main concern lately has been with headaches, In the last 5 days I've had one every morning and the cause wasn't a full bladder. 
Is it something to expect happening?
Regarding my spasmi, I take lioresal 25 mg four times a day plus a dantmacrin but it doesn't seem Like ir's helping at all.
Thanks for your timeMarco
  1. more than a month ago
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Dr._Hans_old
Dr. Online
Accepted Answer Pending Moderation

Dear Marco!

If the raising headaches are new and lasting for days despite of the medication you have been taken for months after operation you should contact the colleagues in St. Gallen and ask for an extraordinary check-up.

They only know what they have been operating on and can give you direct advice.

Without knowing the whole story it is not possible for me to evaluate the problem and give well founded advice. Sorry about that.

Yours sincerely

Dr_Hans, 20.7.2015

  1. more than a month ago
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