Mr D.D.S., 47yrs, a technician of a Political Party, came to me on 12 Dec 12, walking with crutches supported by a partner, diagnosed as a case of Paraplegia with Feet Drop due to Vit B 12 deficiency along with diffuse posterior annular disc bulge at L3-4 to L5-S1 level.
He was not able to lift his legs, feet, toes.
He was not able to stand without the support.
He was getting numbness in thighs at night with sudden shock like sensation.
ODP
1995: Started as sudden falling on right or left side due to imbalance associated with tingling & numbness in lower extremities
2004: Suffered from passing involuntary urination
2008: Started getting difficulty in walking with bed wetting. Gradually, lost capacity to walk as well as stand without support
Being a technician of a Political Party, he was very loquacious having a egoistic attitude. He was quiet particular, perfect & industrious in his work. He could not tolerate injustice to himself as well as others.
Due to his illness, he left Mumbai & came to his native place. As he was not able to work, he is getting too much bored as well as felt forsaken by the peoples, friends, relatives. He was gradually getting indifferent with everyone as the disease was progressing.
On observation, he used to Frown a lot.
MRI: LUMBO SACRAL SPINE 11 Jan 2002 (Hinduja)
Diffuse posterior annular disc bulge is seen from L3/4 to L5/S1 levels indenting the thecal sac.
Vitamin B 12 (29 May 2004)
153 pg/ml (Normal 193-982 pg/ml)
Vitamin B 12 (8 Feb 2011)
446 pg/ml (Normal 193-982 pg/ml)
ANALYSIS OF A CASE
• This is gradually developing Paraplegia may be due to the disc prolapse.
• Earlier, it was considered as a case of Vit. B 12 deficiency. But, even after Vit. B 12 supplement, Paralysis was increasing. His B 12 levels done in 2011 found to be quiet normal. Yet, the disease was progressing.
MIASM
SYPHILITIC
RUBRICS SELECTED
1. Loquacity
2. Egotism, self esteem
3. Fastidious
4. Industrious, mania for work
5. Injustice, cannot support
6. Escape, attempts to
7. Ennui, boredom
8. Forsaken feeling
9. Indifference, apathy, Increasing gradually
10. Extremities, Paralysis, Foot, partial
11. Extremities, Paralysis, Legs
12. Extremities, Paralysis, Toes, Extensors, of
13. Extremities, Shocks, Lightening like
14. Frown, disposed to
RESULT OF THE REPERTORISATION
1. Plumb met: 15/13
2. Sulph: 10/9
3. Nux vom: 11/8
4. Aur met: 12/7
5. Lyco: 11/7
HOMOEOPATHIC MANAGEMENT
• Physiotherapy
REMEDY PRESCRIBED (12 Dec 2011)
• Plumbum met 0/1 tds for 10 days.
PLUMBUM METALLICUM: Boericke’s Materia Medica
• Drug for general sclerotic condition
• Lead paralysis is chiefly of extensors from centre to periphery with partial anesthesia or excessive hyperesthesia
• Progressive muscular atrophy
• Important to peripheral affections
• The points of attack for Plumbum are the neuro-axons & anterior horns
• Symptoms of Multiple Sclerosis & Posterior Spinal Sclerosis
Follow Up (23/12/11)
• Feet drop decreased
• Able to extend the lower limb with efforts
• Able to stand without support
• Feeling Hopeful about recovery
• Remedy continued in bd doses for 15 days
Follow Up (12/01/12)
• Feet drop decreased a lot
• Able to extend the lower limb with efforts
• Able to walk with stick
• Feeling confident about recovery
• Remedy continued in bd doses for 15 days
Follow Up (17/02/12)
• Went to Mumbai for a work of his Political Party for Corporate Elections
• Work hard for the same
• His friends astonished observing his improvement in walking
• Involuntary Urination decreased
• Bed wetting absent
• Able to lift his leg as well as feet
• Able to extend the lower limb with efforts
• Able to walk without stick for few foot-steps
• Feeling too much confident
• Advised him Spinal Extension Exercises
• Remedy: Plumbum Met 0/2 bd for 15 days
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