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mfm24
09-19-2005, 11:09 PM
C5 imjury.Patient has had fevers on and off again for more than three weeks. Cultures, scans all come back showing no infection and no clots. Doctors reluctant to call it Central. Anybody have any stories about length of time they had an unexplained fever?

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NYFUSED
09-20-2005, 01:04 AM
what kind of injury?? Was surgery recently done?? Was a CBC- Blood work done....sed rate, CRP ???


Lori

mfm24
09-20-2005, 07:52 AM
No surgery performed. Injury was a C3 C4 C5 fractures and incomplete injury to spinal cord at C4 to C5 level. The fevers prevented any fusion surgery and later xrays showed some healing so injury site has been left alone.All tests are done and repeated every 4 days or so.

NYFUSED
09-20-2005, 12:29 PM
I am lost.... If she has a fever, something is brewing and an infection is almost definetly going on somewhere.

Sorry I cant be of help

Lori

rob_zzz
09-21-2005, 01:27 AM
I though spinal cord injury at cervical level could affect body temperature regulation (because feedback mechanism's required for temp regulation, as well as ability to sweat etc. can be affected).

NYFUSED
09-21-2005, 09:54 AM
To my knowledge that is at C1, where the brain stem is.

Lori

mfm24
09-21-2005, 11:22 PM
We keep telling the Drs this, however they claim the injury would have to be above C5 to have this affect and also the other usual cause is brain injury which the CAT Scan showed none.

rob_zzz
09-22-2005, 09:58 AM
I thought that interruption of the signals from sensory nerves that detect cold around the body and feed it back to the brain (many of which would come from below c5) means the brain doesn't get quite the right feedback from the body about how hot/cold everything is and thus messes up temp regulation.

feelbad
09-22-2005, 11:20 AM
You actually only have to have an injured thalamic tract or even SNS damage to end up with the constant temp abnormality he is having.my thalamic tract took a huge hit during my spinal cord surgery as the cavernoma that was removed was actully sitting smack dap in the mid tract.I have loss of sweating,temp sensation and loss of surface pain all attributed just to the actual thalamic tract damage(the actual tract sits more toward the lateral left in the posterior portion of the cord).My biggest hit was at the c 8 nerve level.by all means,do some research on the thalamic tract and see just what pops up with regards to any symptoms that also may be occuring from this alone.i have a total of three spinal nerves ,two spinal tracts damaged and also a significantly damaged sympathetic nervous system.You would not believe the 'ride' i have had over the last two years.unbelievable neuro crap that keeps popping up.do check out the possible thalamic though as the possible source for his problem.Just one possibility.I am rather suprised that his NS did not mention this as a possibility.The thalamic governs pain(it is the pain pathway to the brain and the biggest reason for my bizarre off the wall neuro pain from hell)regulates temp and sensory touch.Good luck and please keep me posted.Marcia

mfm24
09-25-2005, 07:09 PM
Thank you for the input. I am going to look into this. The NS has not been as invlolved in the case for this. They bropught in an infectious disease doctor who has been the lead DR on the fever issue.

Thank you again,

feelbad
09-26-2005, 08:38 AM
that really is the best thing for you to do here quite honestly.doing my own research is what really enabled me to actually know just what all was damaged inside my cord and all of the reasons for my really bizarre symptoms.i really do feel, just from my experience that the thalamic tract may very well be involved here at least to some degree.look it up and then just start comparing symptoms.Please let me know just what you find.good luck,marcia





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