Medical advice, investigation and surgery for a 7-year old boy

Good day,

We are looking for a medical advice, investigation and surgery for a 7-year old boy Alan with a multiple developmental defects including inherent deformations of cervical C1-C2 vertebrae, leading to a dramatic compression of a spinal cord's cranial portion and different neurological disorders.

Alan was subjected to surgery on July 21 2000. At present, Alan

[CCF Neuro[P] MD, RPS]

Cear Pavel:

I am very sorry to hear about the child Alan.  I am not sure what I can add.  Without seeing the imaging studies, (the pre- and post-op), complete knowledge of the past medical history, etc. it is almost impossible to tell you much besides some generalities which you likely already know.  First, I am not sure what disorder Alan has.  His condition seems like it is slowly progressive as his muscle strength has declined.  It is abit unusual to see lower extremity spasticity and upper extremity flaccidity.  Any management issues would be helped by knowing the syndrome that Alan has and things one might be able to do to improve things.  I am sure that the group in Russia are fine medical doctors and things have been done well.  The issue of weaning from mechanical ventillation is always a tricky issue, especially if the syndrome makes independent ventillation difficult.  I am assuming that the muscle weakness is part of the ventillation problem.  I am at a loss to add much medical help without knowing more about the syndrome that Alan has, metabolic? strictly congenital? chromosomal? I am really sorry that I can't help.

Sincerely,

CCF Neuro MD